New Membership - St. James Church

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New Membership Form

Thank you for your interest in becoming a member of the St. James Church Family,

First Name *

Middle Name

Last Name *

Generic Suffix

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Phone # *

Alternative Phone #

Date of Birth *

Age *

Gender/Sex *

Marital Status *

Inception into the church by: *

Name and Address of your former Church and Pastor *

Name and Phone Number of your nearest relative (not living with you) *

Interest in the Church (select all that applies) *

Family Ministry Assignment Team *

I agree that all of the above information is truthful and agree to complete the Orientation Classes of St. James Church (Type Full Name Below) *

Website

St. James Church envisions the church to Proclaim the Gospel, Evangelize throughout the world and build the Kingdom of God.

St. James Church
1524 West 35th Street
Riviera Beach, FL 33404
(561) 842-3897