Name *

First Name

Last Name

Phone *

(###)

###

####

I have decided:

To follow Jesus

To recommit my life to Jesus

To be baptized (see additional section below)

I want to:

Join this church (additional info needed below)

Have a pastor contact me (additional info needed below)

Receive the Northlake weekly and monthly newsletter by email

Please text me for info

Just call me the evening before and pray over the phone

I would like to formally join this church. Have an elder contact me/us.

I would like to join

Name

First Name

Last Name

Best Date

MM

DD

YYYY

I have another question:

Email me

Text me

Let's meet!