Your Name (required)

Your Email (required)

Your Phone (required)

Share briefly how you came to Christ (mention the circumstances that lead you to Christ and what your life was like before your decision)

How long have you been attending City Centre?

Are you a member of City Centre?
YesNo

Pick what Youth Ministries role you would like to serve in
---Jr High LeaderHigh School LeaderSpecial Events Youth TeamYouth Hour TeacherYouth Hour AssistantLeader-in-Training (youth only)