Serve Form - Regenerate Church

Name ^*

Gender ^*
MaleFemale

Are you a JH/HS Student?
Yes

Address ^*

City ^*

State ^*

Zip code ^*

E-mail ^*

Phone^*

Birthday ^*

School

Is Regenerate Church your home church? ^*
YesNo

Which Regenerate Campus do you attend?

How many years have you attended Regenerate?

How many years have you been a Christian? ^*

Please explain how you became a Christian: ^*

What churches have you been a part of and for how long? ^*

Please indicate which day(s) you are available to serve at Regenerate Church:
Sunday

Are their any potential conflicts in your schedule that would interfere with your commitment? If yes, please list:

REFERENCES ^*

Reference #1

Reference #2