If you would like to become a member of Judah, please fill out the form below. Thank you and welcome to Judah!

NAME *
NAME
BIRTHDATE *
BIRTHDATE
ADDRESS *
ADDRESS
HOME PHONE (IF APPLICABLE)
HOME PHONE (IF APPLICABLE)
CELL PHONE *
CELL PHONE
MARITAL STATUS *
WEDDING ANNIVERSARY (IF APPLICABLE)
WEDDING ANNIVERSARY (IF APPLICABLE)
SEX
RACE *
AGE GROUP *
BAPTISM DATE (IF APPLICABLE)
BAPTISM DATE (IF APPLICABLE)
SPOUSE INFORMATION (IF APPLICABLE)
NAME
NAME
BIRTHDATE
BIRTHDATE
CELL PHONE
CELL PHONE
AGE GROUP
RACE
PLEASE COMPLETE THE FOLLOWING SECTION FOR ALL CHILDREN LIVING AT HOME WHO WILL ATTEND JUDAH