ABSC Church Revitalization / Registration / Other Church Leaders

This form is only for Leaders in churches with Senior Pastors. Pastorless churches please use the Pastorless Church registration form.

Your First Name

Your Last Name

Name of Church

City/Town in which church is located

Please briefly describe your staff or other leadership role in the church:

Name of Senior Pastor

Email Address for Senior Pastor

Daytime Phone Number Senior Pastor

Your contact info:

Email Address

Daytime Phone Number

Mobile Phone Number

What is the best way to reach you?

Email

Daytime Phone Number

Mobile Phone Number

Please enter the mailing address for the church:

PO Box

Street Address

City

State

Zip Code

Help encourage others! Please check the boxes below to give permission for your church to be recognized by others as a church entering into the Church Revitalization process:

I give permission for my church to be included on a statewide prayer list

I give permission for my church to be listed on the Church Revitalization website

Our church would like to be connected to other churches in our area who are engaging in the Church Revitalization process

Please share any additional comments or questions regarding your church and the Church Revitalization process:

Upon registration, you will receive a password via email that will unlock other resources on the Church Revitalization website. Please allow 1 business day for processing.

ABSC Church Revitalization Process