Name*
Address*
City*
Zip*
Cell Phone*
Home Phone*
Email*
How long have you attended The Feed Store?*
Have you received Salvation?* Yes No
Have you been Water Baptized? Yes No
Have you received the Baptism of the Holy Spirit? Yes No
Service Preference* Wednesday 6:30pm Sunday 6pm 6:00 pm
Kids
Jr. High
Worship Team
Kitchen
Ushers
Greeters
Bookstore
Tech Arts - Camera, Sound, Media
Describe your experience in this ministry (if any):*
Additional Comments
