Name (Required)

Email Address (Required)

Current Address: (Required)

Cell Phone: (Required)

How long have you been a believer in Jesus Christ? (Required)

Have you been baptized since becoming a Christian? (Required)

What is the name of your most recent church? Were you in good standing as a member of that church? Are you leaving on good terms? (Required)

Briefly describe your experience at your previous church. Were you growing spiritually? Why or why not? (Required)

Why are you desiring membership at Heritage Grace? (Required)

Please provide a brief summary of your testimony when you received Jesus Christ. (Required)

Please include my contact information in the HG Church directory? (Required)

Have you read and do you agree with the HG Statement of Faith? (Required)