MEMBERSHIP FORM
Welcome to Panorama Christian Center! We're glad you're here. Our Family would love to serve you and help you get connected.
Fill out the Membership Form below to get Connected.
First Name
Last Name
First Name
Last Name
Email
Phone Number
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Date of birth
Month
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Address
Apartment, suite, etc.
City
State
Postal / Zip Code
Gender
Male
Female
I'd rather not say
Marital Status
Single
Married
Widowed
Separated
Divorced
I'd rather not say
How many times have you visited our church?
This is my first time
A few times
Regular attender
I've connected online
How did you hear about us?
Anything else you'd like to share?
Prayer Requests (How can we pray for you or others in your life this week?)
Next Steps
Today I am committing to becoming a member of Panorama Christian Center
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