Join as a Coordinator

About You

After creating a coordinator account, you will be able to post Life Chains to the website by adding new events under "My Events." Please remember your login information.

First Name*

Last Name*

Phone Number*

Email Address*

Street Address*

City*

State/Province*

Zip Code*

About Your Life Chain Chapter

Details about your local Life Chain committee/chapter will be publicly listed on the National Map.

Chapter Name*

Years Active in Life Chain

Ministry Affiliations

Website URL (optional)

Map Your Local Life Chain Chapter (required)*

Chapter Mailing Address

Chapter Street Address

Chapter City

Chapter Zip Code

Username or E-mail*

Password (8 character minimum)*

Confirm Password (8 character minimum)*

Only fill in if you are not human

Join as a Coordinator

About You

About Your Life Chain Chapter

Chapter Mailing Address

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