Membership Request Form

Thank you for visiting!

If you would like to become a member of the church, please complete and submit the form below and a member of the church staff will contact you.

Name*
First Last
Date of Birth*
Address*
Street Address Address Line 2 City ZIP / Postal Code
Phone*
Email
If in school: current grade
If a minor: parent/guardian name
When did you confess your sin, ask His forgiveness and commit your life to be a follower of Christ?*
Have you been baptized since that time with a Resurrection Baptism? If so, when/where?*
Are you currently a member of another church?*
- Yes
- No
If member of another church, please list the name and location of the church.
Commitment*
I have read the informational booklet on "Becoming a Member" and understand the general doctrines and practices of the church as well as what is expected of church members in the "Frequently Asked Questions" section. I commit myself to: (1) Attending worship on a regular basis; (2) Living in a manner not to bring reproach on Christ or the church; (3) Serving others as God enables me to do so; (4) Helping support the work of the church financially
- Yes