Membership Interview Registration

Your name *

Last name

Email address *

Phone Number *

Phone type

MobileHomeWorkOther

Address *

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Preferred Method of Contact *

Select…PhoneEmail

Marital Status *

Select…MarriedSingleWidowedDivorcedSeparated

Do you have children at home?

Church Involvement

How long have you attended Village Church? *

Select…0-6 Months6-12 Months1-2 Years2-5 Years5+ Years

Are you currently in a Community Group? *

Select…YesNo

Are you currently serving at Village Church on a Serve Team? *

Select…YesNo

Are you faithfully giving financially to the mission of Village Church? *

Select…YesNo

Submit

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