New Member Registration — Abundant Life Church of Deliverance

1 About you

First Name *

Required.

Last Name *

Required.

Date of Birth *

Required.

Phone *

Required.

Email *

Please enter a valid email.

2 Current address

Address Line 1 *

Required.

Address Line 2 (optional)

City *

Required.

State *

Required.

Zip Code *

Required.

Is your mailing address different from above? *

Yes No

Please pick one.

3 Family (optional)

Only if applicable — leave blank otherwise.

Spouse First Name

Spouse Last Name

Spouse Phone

Spouse Email

Children 18 & under — names and birthdates

4 Ministries you'd like to serve on

Pick as many as interest you — a ministry leader will follow up.

5 Emergency contact

Who should we call in an emergency?

First Name *

Required.

Last Name *

Required.

Relationship *

Required.

Phone *

Required.

6 Consents

Please review each and let us know how we may include you in ALCOD's ministry life.

Media consent

Our Media team takes photos and video during services and events for the church website, social media, and ministry publications. May we use images that include you or your family?

Yes No

Please pick Yes or No.

Text message consent By checking this box, you agree to receive text messages from Abundant Life International Church of Deliverance (ALCOD), including updates, event reminders, ministry information, and other church-related communications. Message frequency may vary. Message and data rates may apply. You can opt out at any time by replying STOP.

Email consent By checking this box, you agree to receive emails from Abundant Life International Church of Deliverance (ALCOD), including newsletters, event reminders, ministry announcements, and other church-related communications. You can unsubscribe at any time using the link at the bottom of any email.

7 Prayer & next steps (optional)

Check any that apply — a pastor or ministry team member will reach out.

8 Photo (optional)

Upload a photo of yourself so our Member Services team can recognize you. JPG or PNG, up to 8 MB.

📷

Tap or click to choose a photo

9 Anything else? (optional)

Notes for Member Services

Leave this empty

1 About you

2 Current address

3 Family (optional)

4 Ministries you'd like to serve on

5 Emergency contact

6 Consents

7 Prayer & next steps (optional)

8 Photo (optional)

9 Anything else? (optional)

Welcome to the family, friend!