Name *

First Name

Last Name

Phone

(###)

###

####

Name

First Name

Last Name

Emergency Contact *

First Name

Last Name

Phone

(###)

###

####

I'd like to join by... *

Baptism (I would like to be baptized and join Heritage)

Statement of faith (I have been baptized and seek to join Heritage)

Transfer of letter (I have been baptized, a member of another congregation, and seek to join Heritage)

Watchcare (I am temporarily assigned to the region, have been baptized, and seek to join Heritage)

I’m interested in:

Children’s Activities/Ministry

Youth

Choir/ Music

Administration Ministry (finance, trustees, office)

Sunday greeter/Welcome team

Weekday Volunteering

Bible study/Discipleship

Community ministry

Food pantry/ministries

Men’s Ministry

Women’s Ministry

Senior Adult Ministry

International Missions

Date

MM

DD

YYYY