Extreme Church Makeover Sign-Up

Please complete the information below to sign up for Extreme Makeovers.

CHURCH/ Primary Contact

Church Name *

Church City *

Church State *

First Name *

Last Name *

Gender *

Male

Female

Best Phone *

Alternate Phone

Email Address *

Please indicate which project(s) you are applying for. *

July 16-18th, Middle River Assembly of God (9620 Bird River Rd. Baltimore, MD 21220) 410.391.7993

Including yourself, how many team members do you anticipate bringing? *

How many of the days will you be attending? (Choose all that apply) *

All

July 16th

July 17th

July18th

List here your specific skills. (For example: drywall, plumber, roofer, etc.) If signing up a team, include team member names and skills.

Questions/Comments