WALK Church Family Application
WALK Church Family Application
Your Information
Your Beliefs
Your Declarations
Have you completed Step 1 and watched the Session 1 and Session 2 videos?
*
Yes
No
Please do not continue with this application form until you have completed Step One. You can find the videos on the
Family Membership Page
.
First Name
*
Last Name
*
Phone
*
Email
*
Address
*
Address
Address
Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Gender
*
Male
Female
Date of Birth
*
Martial Status
*
Single
Married
Separated
Divorced
Spouse's Information
First Name
*
Last Name
*
Spouse's Date of Birth
Does your spouse attend WALK Church?
*
Yes
No
Do you have any children?
*
Yes
No
Children's Information
First Name
*
Last Name
*
Date of Birth
*
Does your child live with you?
Yes
No
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