EmailMe Form - This New Life Class

Name *

First Last

Spouse's Name (optional) Is your spouse going through the class with you?

First Last

Email *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Birthdate *

MM / DD / YYYY

Gender *

Male

Female

Phone *

### - ### - ####

Is this number *

Mobile

Home

If Mobile, would you be willing to receive texts from The Lift Church should there be a change or update? This would only be in the case of absolute necessity. *

Yes

No

How long have you been attending The Lift Church? *

Have you gone through The Lift Growth Track? *

Are you already a Covenant Partner/Member of The Lift Church? *

Have you received the life of Christ? *

Have you been baptized? (Yes or No) If yes, when? If no, would you like to be in 2019? *

Do you have any testimonies or prayer requests you'd like to share with us?