New Member Form Name * First Name Last Name Gender * Gender Male Female Date of Brith * MM DD YYYY Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Name of Spouse Spouses Email Spouse's Phone Number (###) ### #### What are some of your talents and/or giftings? What are you hoping to get from joining Westside Church? Are you a born again Christian? Yes No Not sure Please list anyone else who will be joining in your household. If it is a child, please list their age. Thank you!