Membership Registration Form
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Residential Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Sex
*
Please select one option.
Male
Female
Select Option
Male
Female
Marital Status
*
Please select one option.
Married
Single
Divorced
Separated
N/A
Select Option
Married
Single
Divorced
Separated
N/A
Birth Month
*
Please select one option.
January
February
March
April
May
June
July
August
September
October
November
December
Select Option
January
February
March
April
May
June
July
August
September
October
November
December
Birth Day
*
Please select one option.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select Option
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
SPIRITUAL INFORMATION
Please check all that apply
*
Please select all that apply.
New Birth
Believer's Foundation Class
WOFBI
Water Baptism
Holy Ghost Baptism
STEWARDSHIP AREA DESIRED-(You may enlist in multiple Service units)
Service Units
*
Please select all that apply.
Choir
Children's Church
Decoration Unit
Technical/Media
Sanctuary Keepers
Transportation
Security
Hospitality
Undecided
Ushering
Protocol
WINNERS SATELITE FELLOWSHIP (WSF)
What is your WSF status?
*
Please select all that apply.
Belong to WSF Center
WSF home Cell Provider
Not currently part of WSF
What WSF center do you belong to?
*
Please select one option.
Breakthrough Center
Covenant Center
Covenant Keeper Center
Dominion Center
Faith Center
Fortune Center
Fruitfulness Center
Glory Center
Grace Center
Honor Center
Hope Center
Joy Center
Liberation Center
Love Center
New Dawn Center
Peace Center
Power Center
Praise Center
Prosperity Center
Restoration Center
Solution Center
Testimony Center
Victory Center
Wisdom Center
DONT ATTEND ANY
Select Option
Breakthrough Center
Covenant Center
Covenant Keeper Center
Dominion Center
Faith Center
Fortune Center
Fruitfulness Center
Glory Center
Grace Center
Honor Center
Hope Center
Joy Center
Liberation Center
Love Center
New Dawn Center
Peace Center
Power Center
Praise Center
Prosperity Center
Restoration Center
Solution Center
Testimony Center
Victory Center
Wisdom Center
DONT ATTEND ANY
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following
