Central USA – Broken Chains JC

Broken Chains is exclusively for those Bikers and Motorcycle Enthusiasts that are believers in Jesus Christ and serve in a recovery ministry or attend a specific recovery group on a regular basis. Your personal recovery comes first. Please understand this application process is only to insure that those joining our fellowship meet the basic requirements.

***IMPORTANT*** Please be sure to give your reference (Recovery Leader / Sponsor) permission to tell us that you attend recovery meetings on a regular basis. You have to attend your recovery meetings 4 consecutive weeks prior to becoming a member.

* Riding Member

Yes

No

year/make/model of bike

* Gender

Male

Female

* First Name

* Last Name

* Email Address

* Phone

* Password

Strength: Very Weak

Address

* Street Address

* State

* City

* Zip Code

County

Country/Region

* Can we list you as a member?

Yes

No

* Recovery Leader/Sponsor/Pastor

* Recovery Leader/Sponsor/Pastor's Phone # & Email

Details

* Church

* Your area of recovery

* Do you have a written testimony

Yes

No

* Are you willing to share your testimony

Yes

No

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