Membership Form Membership FormMembership Form (updated)Please enable JavaScript in your browser to complete this form.Name *FirstLastDate / TimeDateTimeAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of BirthPhoneEmail *Please enter your email, so we can follow up with you.Race/EthnicityAfrician AmericanWhite (Non-Hispanic)AsiansHispanicLatinoOtherSpecifyIndicate what race you identify with.How are you joining Faith Hope and Love? *New Disciple (Baptism)LetterChristian ExperienceWatch Care Global DiscipleGlobal Disciple (desiring to connect with FHLCM and live outside of the Antelope Valley) Have you been baptized?YesNoWhat gifts and talents do you have?Marital Status *SingleMarriedDivorcedWidowedSeparatedEngagedMinorPlease indicate your current status.Do you want to add a spouse?NoYesSpouse NameFirstLastSpouse's Date of Birth 1Spouse BaptizedYesNoRace/Ethnicity (Spouse)Africian AmericanWhite (Non-Hispanic)AsiansHispanicLatinoOtherSpouse (Other)Indicate what race you identify with.Add ChildNoYesChild 1FirstLastDate of Birth 1 Baptized 1 YesNoRace/Ethnicity (Child 1)Africian AmericanWhite (Non-Hispanic)AsiansHispanicLatinoOtherChild 1 (Other)Indicate what race you identify with.Add Second ChildNoYesChild 2FirstLastDate of Birth 2Baptized 2YesNoRace/Ethnicity (Child 2)Africian AmericanWhite (Non-Hispanic)AsiansHispanicLatinoOtherChild 2 (Other)Indicate what race you identify with.Add Third ChildNoYesChild 3FirstLastDate of Birth 3Baptized 3YesNoRace/Ethnicity (Child 3)Africian AmericanWhite (Non-Hispanic)AsiansHispanicLatinoOtherChild 3 (Other)Indicate what race you identify with.Add Fourth ChildNoYesChild 4FirstLastDate of Birth 4Baptized 4YesNoRace/Ethnicity (Child 4)Africian AmericanWhite (Non-Hispanic)AsiansHispanicLatinoOtherChild 4 (Other)Indicate what race you identify with.Are there additional children's to be added?No YesTo add additional children's complete a new form.MessageSubmit