Get Connected • The Word Church

We want to connect with you!

We are so glad you could join us! Thank you for taking the next steps to getting connected to our church family. Please complete the form below so that we can better serve you. Welcome!

If you're joining us online, click the video below for a special virtual hug from Pastor Vernon!

First Name *

Last Name *

Gender *

Marital Status *

Email Address *

Phone Number *

Home Address *

Home City *

Home State *

Home Zip Code *

Location *

Main Location-Warrensville

eCampus

Tip: Select One

Did you complete this form in the Salvation Room?

Yes

No

Date of Birth *

What is your demographic? *

Teen (13-17)

Young Adult (18-35)

Adult (36-62)

Senior Citizen (63+)

Are you interested in volunteering? *

Yes

No

How may we serve you? *