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Membership Form

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Today's Date * required

Is this for virtual membership via social media i.e., facebook? *

Yes

No

Member Information

First Name

Last Name

Street Address

City

Region/State/Province

Postal / Zip code

Country

Date of Birth * required

Phone

Email

Gender *

Male

Female

Date of Salvation * required

Household Information

Spouse's Name (if applicable)

Spouse's Address (if different)

Spouse's Date of Birth

Gender *

Male

Female

Email

Child/Dependent #1

Child/Dependent #2

Child/Dependent #3

Child/Dependent #4

Child/Dependent #5

Date of Birth

Date of Birth

Date of Birth

Date of Birth

Date of Birth

By submitting this for, you are voluntarily becoming a member of Liberty International Ministries. By becoming a member of Liberty International Ministries, you agree to abide by the following:

Your agreement with the below statements is important to us. * Required

You agree that the Holy Bible, and only the Bible, is the authoritative Word of the Living God. (II Timothy 3:16-17)

You agree to submit to the leadership of this church. (Hebrews 13:17)

You agree that membership in this church is voluntary and that your acts whether in church or outside the church is of mutual concern and interest to this church and its membership. (I Timothy 3:7; I Peter 2:12)

You agree to support this church with your faithful attendance, talents, gifts, tithes and offerings. (Hebrews 10:25; I Peter 4:10; Malachi 3:10; II Corinthians 9:7)

You agree that membership will not be entitled to a refund of tithes and/or offerings or any other consideration given to the church. (Colossians 3:23)

You agree by agreeing to all of the statements above, they shall stand for your signature.

WELCOME TO LIM!!!!

Contact Us

Hours of Operation

Mon–Fri and Sunday: 9:00 AM – 5:00 PM

Hours vary by program. Contact us for details.

855.542.5789

Liberty International Ministries extension 1

Pivot Family Resource Center extension 2

Libby's Busy Bee Academy extension 3

© 2026 Liberty International Ministries. All Rights Reserved.

PIVOT Family Resource Center and Libby’s Busy Bee Academy are initiatives under Liberty International Ministries.

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