Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

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Mobile Phone

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Birthday

MM

DD

YYYY

Spiritual Birthday

MM

DD

YYYY

Anniversary

MM

DD

YYYY

Skills/Interests:

Check all that apply.

Business/Finance

Ministry

Music

Singing

Social Media

Technology

Volunteering

Youth Ministry

Women's Ministry

Other

Are you a member of another church?

Yes

No

Have you received Jesus Christ as your personal Savior?

Yes

No

Unsure

Have you been baptized as a follower of Christ?

Yes

No

Are you in agreement with our Statement of Faith *

Check yes or no agreement at the bottom of the Statement of Faith. We believe in one God—Father, Son, and Holy Spirit. (Matthew 3:16-17) We believe God is the creator of all things. (Genesis 1:1) We believe Jesus is God's Son (born of a virgin) and the Savior of the world. (John 3:16) We believe the Holy Spirit lives within every follower of Jesus and equips each follower for ministry. (John 16:5-15) We believe the Bible is the inspired Word of God and the final authority for all matters of faith. (II Timothy 3:16) We believe every person has sinned and needs the salvation Jesus provides. (Romans 3:23) We believe Jesus died, was raised to life after three days, and will return to rescue us. (I Corinthians 15:3-4) We believe salvation comes by grace through faith in Jesus. (Romans 5:8-11) We believe faith is expressed through hearing God’s plan for salvation, believing Jesus is God’s Son, confessing our need for Jesus’ work on the cross, repenting of our sin, being immersed in the waters of baptism, and living an obedient life. (Acts 2:38 | Romans 6:1-7 | I Peter 3:21) We believe the Church is the body and bride of Jesus on earth. (Acts 2:14-47) We believe it is God’s plan for elders to shepherd the church. (I Timothy 3:1-7) We believe death seals the eternal destiny of each person. The saved will inherit eternal life and the unsaved will experience eternal separation from God. (Romans 8:10-11) We believe the Bible teaches that marriage is to be a life-long relationship between a man and a woman. (Matthew 19:6) Are you in agreement with our Statement of Faith?

Yes

No