Membership Today's Date MM DD YYYY Name * First Name Last Name Birthdate * MM DD YYYY Phone * (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country By signing below, I (you) acknowledge and agree that: * I have committed my life to Jesus Christ and I trust Him for my salvation. I commit to the First Assembly GC Membership Covenant. I support the First Assembly GC Statement of Faith. Spouse's Name (if applicable) Birth Date MM DD YYYY By signing below, I (spouse) acknowledge and agree that: I have committed my life to Jesus Christ and I trust Him for my salvation. I commit to the First Assembly GC Membership Covenant. I support the First Assembly GC Statement of Faith. Children's Names (if applicable) We will be in contact soon to see how you are doing. In the meantime, know that we are praying for you. Lean into Jesus - He has you.