New Member Registration Form

New Member's Orientation Sign up

KCIO
Full Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Zip Code
E-mail
Is the new member a youth?

Yes No
If the new member is a youth, please indicate age.
Age of youth
Which campus do you primarily attend? *
Marital Status *

Married Single
New Member's classes are held on the first full weekend of each month (Friday, 6:30 - 9pm; Saturday, 8:30am - 12pm) at The Park Church Independence. Also, on the 3rd Saturday of the month, the "Finding your PLACE in Ministry" sessions will take place from 9am -12pm. Please select the weekend that you plan to attend.

February - Fri 7th, Sat 8th, Sat 22nd March - Fri 6th, Sat 7th, Sat 21st April - Fri 3rd, Sat 4t, Sat 18th May - Fri 1st, Sat 2nd, Sat 16th June - Fri 5th, Sat 6th, Sat 20th July - Fri 10th, Sat 11th, Sat 25th August - Fri 7th, Sat 8th, Sat 22nd September - Fri 11th, Sat 12th, Sat 21st October - Fri 2nd, Sat 3rd, Sat 17th November - Fri 6th, Sat 7th, Sat 21st December - Fri 4th, Sat 5th, Sat 19th
For additional details or questions, please contact the church at 704-392-1681 or Rev. Taswell Henderson at thenderson@upbc.org
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