Logos Membership Form

* * * * * * * * * * * * * * * * * * * * * * * * * All Fields With * Are Required * * * * * * * * * * * * * * * * * * * * * * * * *

I want to BECOME A MEMBER of The Logos Center community
Yes

I wish to REAFFIRM my membership in The Logos Center community
Yes

I have read the Logos Tenets and Philosophy; I affirm the Great Commandment of Love. *
Yes

First Name

Last Name:*

Address:

City:

State:* Zip:*

E-Mail:

Home Phone:

Cell:

Date of Birth:

Spouse/Partner Name:

Do You Wish To Be Listed In The Logos Member Directory? *
Yes No

May We Call You To Keep In Touch?: *

Yes

Emergency Only

Place of Birth:

Children: Name/Age

How Did You Hear About Logos:

How Long Have You Been Coming To Logos:

I have the following skills or talents and I would like to work with the Logos community in the following ways:

Career:

Hobbies & Interests:

Religious / Spiritual Background: *

Most Profound Spiritual Experience:

Special Studies:

Anything special you would like people to know about you or anything unusual you do:

Misc: