Membership Application

City - State - Zip

(xxx) xxx - xxxx

Month & Date

Name & Anniversary

Family
Please list the names of any children who attend church with you.

Name - Age - Relationship

Name - Age - Relationship

Name - Age - Relationship

Name - Age - Relationship

Previous Church Details

Name

City - State

Church Website

Pastor

mm/yyyy

mm/yyyy

Baptism Information
Gospel Understanding
Please answer the below questions to the best of your ability. If you need any clarification please don't hesitate to ask the pastor or one of the elders.
Membership Process