New Member's Application

The River of Life Christian Center always presents a practical message filled with life changing principles from the Word of God. We believe in empowering your life with a message that's real, relevant and relational. Our goal is to see your life impacted and changed as you grow into the "you" God always intended you to be. We invite you to become a part of God's family here at the River of Life and experience a newness that only God can bring. Be sure in knowing that:

"There is a word from the Lord for YOU at the River of Life!"
-Pastor Marvin A. Jackson


New Members Application
First Name
Last Name
Address 1
Address 2
City
State
Zip Code
Email Address
Phone
Gender	M F
Date of Birth (mm-dd-year)
Household Information
Current Relational Status	Single Married Divorced Widowed
If married, will your spouse be joining?	Yes No
Spouses Name (based on above)
Spouses Date of Birth(XX-XX-XXXX)
Will any children be attending? (under 18)	Yes No
Child's Full Name
Child's Date of Birth
Child's Full Name
Child's Date of Birth
If any additional children, please provide their names and dates of birth
If current member, are you Updating Membership Information?	Yes No