NAME *

First Name

Last Name

PHONE

(###)

###

####

My preferred contact method

Email

Phone Call

Text Message

Would you like to be added to our weekly email updates? *

Yes

No

I'm already signed up. Thanks!

If you would like to be added to our weekly email updates, which language would you prefer?

*The emails include the same content

English

Japanese

Both

COMMITMENT (I've made a decision I want to share!)

I dedicated my life to Christ for the first time.

I re-dedicated my life to Christ.

NEXT STEPS

I'm interested in getting baptized.

I'm interested in joining a small group.

I would like to talk to a pastor.

GET INVOVED

I want to become a member.

I want to volunteer for a ministry.

I would like to be contacted by a leader.