Watts Chapel Missionary Baptist Church Membership Form

Watts Chapel Missionary Baptist Church

3703 Tryon Road, Raleigh, NC 27606
NEW MEMBER INFORMATION FORM

Welcome! Please complete the form to become a member of Watts Chapel Missionary Baptist Church. An asterisk (*) denotes a required field. We look forward to connecting with you!

PLEASE HIT THE SUBMIT BUTTON AT THE BOTTOM OF THE FORM UPON COMPLETION TO ENSURE YOUR INFORMATION IS RECEIVED.
Date Joined:*

MonthDayYear
Date
Service:*

9:30 a.m.Other
MEMBER INFORMATION
Full Name:*
Gender:*

MF
Birth date:

MonthDayYear
Date
Marital Status:*

SingleMarriedWidowedDivorced
Spouse's Name (if applicable):
Birth date:

MonthDayYear
Date
Joined as a Family?*

YesNo
Age Level?*

AdultYouth
Veteran?*

YesNo
Grade (if Youth)
How Are You Coming into Fellowship with Watts Chapel?*

BaptismChristian ExperienceRestoration of MembershipTransfer Letter
Home Address:*
City:*
State:*
ZIP Code:*
Home Phone Number:*
Cell Phone Number:*
Email Address:*
example@example.com
Spouse's Cell Number:
Spouse's Email Address:
example@example.com
Veteran? (spouse)

YesNo
OTHER HOUSEHOLD MEMBERS JOINING TODAY
Full Name:
Birth date:

MonthDayYear
Date
Gender

MF
Candidate for Baptism?

YesNo
Grade
Full Name:
Birth date:

MonthDayYear
Date
Gender

MF
Candidate for Baptism?

YesNo
Grade
Full Name:
Birth date:

MonthDayYear
Date
Gender

MF
Candidate for Baptism?

YesNo
Grade
Full Name:
Birth date:

MonthDayYear
Date
Gender

MF
Candidate for Baptism?

YesNo
Grade
GENERAL INFORMATION - Yourself
Occupation:*
Employer:*
Hobbies:
Highest Degree Attained (Yourself):*

High School Diploma/EquivalencyVocational/Technical SchoolSome CollegeAssociate's DegreeBachelor's DegreeGraduate DegreePostgraduate Degree
Professional/Civic Organizations
Registered Voter*

YesNo
Please upload a photo (preferably a headshot) or email it to memberservices@wattschapel.org.

Browse Files

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GENERAL INFORMATION - Your Spouse (if applicable)
Occupation:
Employer:
Hobbies:
Highest Degree Attained:

High School Diploma/EquivalencyVocational/Technical SchoolSome CollegeAssociate's DegreeBachelor's DegreeGraduate DegreePostgraduate Degree
Professional/Civic Organizations
Registered Voter

YesNo
EMERGENCY CONTACT
Emergency Contact Name:
Emergency Phone Number:
Relationship:
WHY DID YOU JOIN WATTS CHAPEL?
LAST CHURCH ATTENDED: (Include name and address)
Should be Empty:

Watts Chapel Missionary Baptist Church

MEMBER INFORMATION

GENERAL INFORMATION - Yourself

GENERAL INFORMATION - Your Spouse (if applicable)

EMERGENCY CONTACT