IMANI NEW MEMBERSHIP FORM
Desire to covenant with the Imani North Family or Imani Virtual Church Family? Please complete the form below and someone will contact you regarding our next Zoom New Members Class. In-person classes will not return until it becomes safe for us to assemble and appropriate precautions are in place.

If you have any questions please call the church office Monday - Thursday, Noon - 5pm at 216-732-8204. You may also send an email to imani1505@gmail.com.

Rev. Michele Humphrey, Senior Pastor
First and Last Name *
I desire to become a member of... (Choose One) *
Email Address (double check that it's correct) *
Address (Include city, state, zip code & apt number) *
Cell Phone number (include area code) *
Birthday
MM
/
DD
/
YYYY
Please check all that apply. *
Required
What led to your decision to join Imani North or Imani VC? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy