First Step Membership Class

First Name *

Last Name *

Phone

Email *

Spouse's First Name

Address *

If you have children in your home, what are their names and ages?

To better help you take your next step, is there a question or comment about the church, staff, or ministries that we can be prepared to respond to?

I'm planning on attending First Step on...

January 4

February 1

March 1

April 12

May 3

June 7

July 5

August 2

September 6

October 4

November 1

December 6

211 S. Market St.
Benton, AR 72015

Mon - Thur: 8 AM - 5 PM
Fri: 8 AM - 12 PM