Part of the LCC Family Application

Part of the Life Center Church Family

6022 Candlewood St. Lakewood, CA. 90713
Today's Date

Month Day Year
Date
Name

First Name Middle Initial Last Name
Date of birth

Month Day Year
Date
Home/Mobile #

Area Code Phone Number
Your Email *
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
The following information will be kept confidential within the church, and will not be shared with any outside sources.

I am a Christ follower I would like to become a Voting Member of Life Center Church I have been baptized I would like to become a non-voting Jr. Member (ages 12-17) I want to get baptized I am interested in Serving in a Ministry Growing in a Life Group Counseling
Take a photo of yourself so we can see your amazing face.
Or upload a photo of yourself.
Marital Status

Single Married Divorced Separated Widowed
Spouse's Name
Number of children living with you:
List names
List ages
Please pick one that applies:

First Visit Second Visit Third Visit Ive been attending for some time
Age Group Category you would fall in:

0-17 18-29 30's 40's 50's 60+
A little history about yourself
My profession
Employed by
Special Interests
Church and location of your last church attended:
Involved in what way?
Began attending Life Center Church:
Current involvement at Life Center Church:
How did you hear about Life Center Church?
Comments or Questions
Church Partnership Covenant

1. I affirm that I have received Jesus Christ as my Lord and Savior and have committed my whole life to following Him. I commit to living that out by:
- being baptized in water (if I have not been since receiving Christ)
- seeking to develop a Godly lifestyle
- attending worship services regularly with other believers
2. I affirm that I feel led of God’s Spirit to identify with Life Center Church as my church home. I commit to living that out by:
- caring for others in the church family
- refusing to gossip
- supporting our leaders in prayer, attitude and encouragement
3. I affirm that I want to be a partner in the ministry and outreach of Life Center Church. I commit to living that out by:
- praying regularly for my church’s unity, ministry, and outreach
- inviting others to attend and warmly welcoming those who visit
- giving regularly of my finances
4. I affirm that I am a growing person, seeking to develop my spiritual life and ministry gifts. I commit to living that out by:
- developing a servant heart
- developing accountable relationships with others in classes and small groups
My signature affirms that I agree to the Life Center Church covenant

Use your finger or mouse to sign Clear
Administrative Use For Membership/Jr Membership Approval Only Only
Board Approved:

Use your mouse (or finger on mousepad/iPad) to Sign Clear
Should be Empty:

Part of the Life Center Church Family

A little history about yourself