Membership Request Form Please enable JavaScript in your browser to complete this form.Name *FirstLastHaving attended services a Clavary Reformed United Ministries Inc. I would like to become an active member of the church, supporting the ministry with my attendance to services and participating wholly in ministries selected below: LayoutPlease click on all ministries of interestDance MinistryCulinary Arts MinistrySound and Media MinistryUsher and Greeters MinistryOutreach MinistryMusic MinistryYouth MinistryOther: _______________________________AddressAddress Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutApplicant Contact NumbersParent or Guardian number if under the age of 18EmailParent or Guardian E-mail if under the age of 18Additional CommentsSubmit