Mr.    Mrs.    Miss    Dr.

First Name
Last Name

Address 1
Address 2

City

State

Zip

Home Phone

Work Phone
Email 
Grade
Gender   M   F
Birthdate
   

I would like more information to get involved with:

 Nursery (newborn-3 yrs.) Community Groups
 Kid's Connection (3 yrs.-6th grade)  Men's Ministry
Connection Youth Group (7th-12th grade)  Ladies Service Ministry
 Library    Worship/Band/Music
 Audio/Powerpoint  Greeters/Ushers
 Teaching   
 B.U.I.L.D Classes (Adult Bible Fellowships)


Other comments or information you need for us to know:








 

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3712 Herschel Street | New Orleans, LA 70114 | (504) 362-3254

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