Name *
Name
Date of Birth *
Date of Birth
Cell Phone
Cell Phone
Home Phone
Home Phone
Address *
Address
I AM READY TO BECOME A MEMBER OF RADIANT CHURCH.
I have committed my life to Jesus Christ, and I trust Him for my salvation, I commit to the Radiant Church Membership Covenant. (p. 26) I support the Radiant Church Statement of Faith. (p. 72)