AWC NEW MEMBERS FORM | Antioch Worship Center

By filling out this form, new members provide contact information and share their interests, allowing us to connect them with relevant ministries, small groups, and events. This form helps us stay in touch, guide your integration, and keep you informed about opportunities to grow and serve within our community.

Name (Required)

Email Address (Required)

Address

Phone Number

Date of Birth

Spouse Name

Spouse Date of Birth

Children(s) Name

Children(s) Date of Birth

Preferred Method of Contact

Text

Call

No preference

Emergency Contact Name

Emergency Contact Number

I approve my contact information to be made PUBLIC to the members of AWC

I recognize my information will be maintained by AWC for the purposes of the membership database. I consent and agree to allow my information to be apart of this directory for the stated purpose.

Yes

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Antioch Worship Center

6245 Shannon Rd
Mesquite, TX 75181

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