Church Registration Form

Form for New Members

Please DO NOT use this form to notify us of updates to your original registration information; call the church office.







Mailing Address. If same as Residence Address, skip to Home Phone











Head of Household Information








Spouse or Significant Other Information







Children And Other Adults Living At This Address

Add adult names only if they will not register separately




























Additional Information





Enter "none" if you do not have or do not want to use an email address.

If you need to submit another form to add more children and/or adults:

  1. Submit this form first.
  2. Once submitted, return to the beginning of the form, which will now be empty again.
  3. In the Residence Address space on the new blank form, type "PAGE 2" (or "PAGE 3," etc).
  4. Fill in all the required fields again.
  5. In the "Children and Other Adults Living at this Address" section, continue to add names and information.
  6. Submit form.

Before you submit this form, we would like to know if there are any church ministries you would be interested in. If so, please enter your interests below...