Online Membership Request - St. John Church Unleashed

Fields marked with a * are required

First Name*

Last Name*

Phone Number*

Email Address*

Home Address*

Street Address City State / Province / Region ZIP / Postal Code

My decision today is: (please select all that apply)*

If you selected you are joining the St John Church, have you previously accepted Christ as your Lord & Savior?*

How are you making a spiritual decision today?*

I attended the 7:00 AM Worship Service (In-Person/ Grand Prairie)
I attended the 9:00 AM Worship Service (In-Person/ Grand Prairie)
I attended the 10:00 AM Worship Service (In-Person/ Southlake)
I attended the Worship Service (Online)
None of the above. I am submitting a spiritual decision via the website outside of the weekly worship times.

Have you been baptized before?*

Are you joining or making a spiritual decision from Chosen Youth Worship (6th-12th grade)?*

Are you transferring your membership from another church*

If so, which church? (Reply N/A if this does not apply)*

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Birthdate (mm-dd-yy)*

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Marital Status*

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Home Phone*