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:

Other
MEMBER INFORMATION
Full Name:
Gender:
Birth date:

MonthDayYear
Date
Marital Status:
Spouse's Name (if applicable):
Birth date:

MonthDayYear
Date
Joined as a Family?
Age Level?
Veteran?
Grade (if Youth)
How Are You Coming into Fellowship with Watts Chapel?
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)
OTHER HOUSEHOLD MEMBERS JOINING TODAY
Full Name:
Birth date:

MonthDayYear
Date
Gender
Candidate for Baptism?
Grade
Full Name:
Birth date:

MonthDayYear
Date
Gender
Candidate for Baptism?
Grade
Full Name:
Birth date:

MonthDayYear
Date
Gender
Candidate for Baptism?
Grade
Full Name:
Birth date:

MonthDayYear
Date
Gender
Candidate for Baptism?
Grade
GENERAL INFORMATION - Yourself
Occupation:
Employer:
Hobbies:
Highest Degree Attained (Yourself):
Professional/Civic Organizations
Registered Voter
Please upload a photo (preferably a headshot) or email it to memberservices@wattschapel.org.

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GENERAL INFORMATION - Your Spouse (if applicable)
Occupation:
Employer:
Hobbies:
Highest Degree Attained:
Professional/Civic Organizations
Registered Voter
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