New Members Form

Complete this form on all persons interested in joining WFLCM

PERSONAL INFORMATION

First Name*

Last Name

Birth Date*

Home Number

Mobile Number*

Alter Number

ADDRESS INFORMATION

Address*

Address 2 (Optional)

City*

State*

Zip*

Email Address*

FELLOWSHIP INFORMATION

REUNITING

WATCH CARE

CHRISTIAN EXPERIENCE

BAPTISM

Questions & Comments

(*) Denotes required fields

If you have any questions or need assistance in completing this form, please feel free to contact the New Members Coordinator, Deacon Lauretta Dixon by email at ladixon822@gmail.com or by telephone on (240) 493-7071

Rev. Larrin Robertson,
Pastor

Reverend Larrin Robertson, Pastor | Email: admin@wordforlifechurch.org | Church phone: (301) 292-2066
Mailing Address: 11519 Fort Washington Road, Fort Washington, Maryland 20744-5814