PURE Ministries

Register For The PURE Network

Additional information will be collected after registration.

The email address and contact information below will be used to send your password and confirm ministry details.

Username

Email

*Confirm E-mail

*First Name

*Last Name

*Church (Ministry) Name

*Address

Address 2

*City

*State

*Zip Code

Website URL

*Church Contact

*Your Title/Role within Church (Ministry)

*Phone Number

Fax Number

*Church (Ministry) Type

Service Information

*What type of PURE services do you provide?
Respite Care
Sunday School
Parent Support Groups
Sibling Groups
Special Events
Other

PURE People served?
Children
Teens
Adults

Ministry Information

Our Story (Tell Us Your Story)

*Are you the primary contact for this ministry organization?
Yes
No

If No, please provide an alternate contact

*In what stage is your church/ministry in respect to PURE people?
Active
In Process
Planning
Hoping and Dreaming

Referred By (Name)

Registration confirmation will be emailed to you.

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