Membership Membership Form Ready to take the first step towards growing in faith, fulfilling your spiritual goals, and becoming part of a loving community? We’re here and eager to welcome you into our family. Please kindly fill out this form with your information. First Name Middle Name Last Name Date of Birth Gender Male Female Other Marital Status Single Married Divorced Widowed Phone Number Email Address Have you accepted Jesus Christ as your Lord and Savior? Yes No Are you transferring your membership from another church? Yes No If yes, please provide the name and address of your previous church: Select Church Group 🔴🟡🟢🔵 Matthew Mark Luke John Emergency Contact Relationship to You Parent Spouse Sibling Friend Guardian Child Other Phone Number Additional Comments or Prayer Requests Uploadyout Image / Photo Consent and Declaration By submitting this form, I affirm that the information provided is accurate to the best of my knowledge. I also give my consent to be contacted by the church for matters related to my membership and participation. I agree to the above declaration Submit