Return form to your Congregation and a copy to:

Brother Chris “Lucky” Johnson @

11419 Fortune Street

Spring Hill, Florida 34609

	Fee Paid: ________		Date: ________
Last Name ______________________________ First ____________________________ Middle ____________
Nickname or Road Name ________________________		Phones: Home____________ Cell____________ Work___________
Address: Street______________________________________________ City_______________________________________________ State______________________ Zip____________________
Church Affiliation: __________________________________________________________________ ______________________________________________________________________
Testimony of Salvation: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Emergency Contacts and Health Issues: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Glory Riders is a Motorcycle Ministry Only. However there is a prospect period to be in keeping with motorcycle club protocol. During this period you MUST depend solely on the Lord to learn a deeper commitment to witnessing, and you MUST remain committed in Brotherhood to your sponsor and learn the meaning of motorcycle world protocol. We are brought together for His purpose, our Commandment. Matthew 28:19 Go ye therefore, and teach all nations, baptizing them in the name of the Father, and of the Son, and of the Holy Ghost: