Your Name
Last Four Social Security Number
DOB
Phone Number
Email
Sex Offender Status
Testimony
Why should we chose you?
Have you read and do you accept the rules of JH?
Will you submit to the staff and be respectful while at JH?
Church Affiliation Pastor Name
By continuing, you agree that your electronic signature is the legally binding equivalent to your handwritten signature. Whenever you execute an electronic signature, it has the same validity and meaning as your handwritten signature. You will not, at any time in the future, repudiate the meaning of your electronic signature or claim that your electronic signature is not legally binding.
Signature