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Outlet Membership Form
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Membership Video
First Name
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Last Name
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Date of Birth
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Preferred Method of Contact (Select All That Apply)
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Email
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Email Address
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Best Phone Number to Contact You
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Mailing Address (Street, City, State, and Zip Code)
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THE NEXT STEP IN MY SPIRITUAL JOURNEY
I would like to become a Member or Renew my Membership
I'd like to become part of the Core Team at The Outlet Community.
I am interested in joining a Community Service Team
Beginning a Real Relationship with God
Expressing my faith in Jesus. I want to be baptized the way Jesus was baptized as a public statement of faith in Him
Additional Household Members to include on this form (Please add Full Name, DOB, and Email Address)
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PRAYER REQUESTS
There's something going on in my life that I'd like the prayer team to pray for:
Your Privacy Matters
Nature of my Prayer Request
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CONFIDENTIAL
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Prayer Request
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