Accept Christ

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T Shirt Size (Adult)

T Shirt Size (Kids)

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email

Marital Status

Birthday

mm/dd/yyyy

Wedding Anniversary

mm/dd/yyyy

Emergency Contact Name

Note: Please list parent name and phone number if member joining is under the age of 18

Emergency Contact Phone

Desires Membership

Prayer Request-see immediate attention in this room
Christian Experience -This is a person that has already given their lives to Christ and want to join in fellowship with our church.
Re-dedication of Life - This appeal is for those who have fallen away from the faith due to various reasons and feel compelled to rededicate their lives back to God.
Candidate for Baptism -A person who has given their life to Christ and want to show their confession by way of baptism which is symbolic of an outward showing of an inner change. Also, commanded by Jesus in Matthew 20.
Letter of Membership -This is a person who was a member at a previous church and is now joining another church and prefer a more formal way of doing it by letter. Their old church would send the new church a letter indicating the member is in good standing.
Associate Membership-This is a person who is generally in the area short-term (college or short work assignment) and prefers to maintain their membership at their home church but while in the area would like a covering fellowhip.

Please include Associate Membership Information if applicable

I am interested in the following areas of ministry: