It’s your time to make a difference.

Your Name *

First Name

Last Name

Today's Date *

The day that you made your commitment.

MM

DD

YYYY

By checking this box, I affirm my commitment is true. *

I affirm my decision to obey Christ in the Great Commission.

Name of a witness to your commitment. *

They must be a believer who will hold you accountable, and they must personally check the box below.

First Name

Last Name

"I the witness mentioned above affirm that my brother or sister in the Lord has committed their life to advance the Gospel of Jesus Christ to the spiritually lost in this world." *

I, their witness affirm to the best of my knowledge this is true.