Participating Artist Registration

( Remember to do this same procedure again at AnTGrace.com for the user information needed
on each website. We appreciate your cooperation! )

First Name

Last Name

Username

Email

Password

Birthday

Address (Same as billing address)

City

State / ZIP Code

Country

Mailing Address ( If different from the above )

City

State / ZIP Code

Country

Home Phone

Cell Phone

Parent / Guardian Name ( If you are under guardianship, you must fill this field.)

Parent / Guardian Email

Parent / Guardian Phone

Information of your other talents

Information of your other status

Are you a Sponsoring Participating Artist ? ( including partial Sponsorship )

Yes No

Interested in coming to church to know about God?

Yes, I want more information Not now

Your Church Information