Membership Form • The Ark

First Name *

Tip: you may add your preferred name in parentheses. Example: Samantha (Sam)

Last Name *

Date of Birth *

Gender *

Email Address *

Mobile Number *

Mailing Address *

Mailing City *

Mailing State *

Mailing Zip Code *

Marital Status

Anniversary

Family Information -- please provide the names and date of birth for your spouse and/or children (if applicable)

How did you discover The Ark? *

Someone Invited Me/Word of Mouth

Social Media (Facebook/Instagram)

Internet (Google or YouTube)

Other

If you answered "Other" --- please provide how you discovered The Ark Detroit. *

The Ark Teams -- check any team(s) you are interested in serving within:

If you answered "Other" -- please provide some details on ways you would like to serve at The Ark Detroit

Skills and Interests: