EmailMe Form - Foundations 101 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 You Belong?

Yes

No

Are you already a Covenant Member of The Lift Church?

Yes

No

Have you received the life of Christ?

Yes

No

have you been baptized in the Holy Spirit?

Yes

No

Not Sure

Have you been baptized? (Yes or No) If yes, when? If no, would you like to be in 2021? *

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