Membership Form

Personal Information

Full Name

Date of Birth

Phone Number

Address

Marital Status

Spouse's Full Name (if applicable)

Spouse's Date of Birth

Children Information

Please list each child’s name and date of birth.

Child Name

Date of Birth

Spiritual Information

Salvation Date (optional)

Baptism Date (optional)

Service & Ministry

What are your talents and/or gifts?

What ministry (or ministries) would you like to serve in?

What is your spiritual vision?

What do you expect from your church?

What are some of your interests and hobbies?

Additional Information

Agreement

By submitting this form, I acknowledge my desire to become a member of A New Beginning Church of God, to grow in my relationship with the Lord, and to support the church through my prayers, service, and giving as the Lord leads.