Name *

First Name

Last Name

Birthdate

MM

DD

YYYY

Phone

(###)

###

####

Preferred method of contact:

Email

Text

Are you local to Hagerstown, Maryland and interested in joining us on-campus? *

Yes, I am local. Please send me more information about on-campus services!

No, I am not local but would like to be a part of the Ringgold Church Online Community.

Spouse Details (If Applicable)

You can leave this blank if not applicable.

First Name

Last Name

Spouse Phone

You can leave this blank if not applicable.

(###)

###

####

Spouse Birthdate

You can leave this blank if not applicable.

MM

DD

YYYY

Is your spouse a first time guest?

You can leave this blank if not applicable.

Yes

No

How Can We Help You? *

I am a first time guest

I am giving my life to Christ

I am interested in baptism

I am interested in volunteering as a Ringgold Team Member

I am interested in joining a Connect Group

I am interested in a Watch Party