Membership Application

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Birthday *

MM

DD

YYYY

Anniversary Date

If applicable

MM

DD

YYYY

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Have you been baptized as a believer? *

Yes

No

Were you a member at your previous church? *

As in, having gone through some sort of formal membership process

Yes

No

I am available and interested in joining the following: *

Discipleship Groups

1-to-1 Discipling Relationships

Monthly Prayer Gatherings

In what ways can you see yourself serving? *

(Select all that apply)

Audio/Visual Media

Children's Ministry

Facilities/Security

Ordinances

Hospitality/Member Care Ministry

Men's/Women's Ministry

Mercy Ministry

Missions Ministry

Music Ministry

Treasury/Finance

Welcoming Ministry

Youth/Young Adult Ministry

I acknowledge that I have carefully read and agree with Maranatha Grace Church’s mission, vision, values, and statement of faith. *

Yes

I acknowledge that I have carefully read and agree with Maranatha Grace Church’s members’ covenant. *

Yes