NL Encounter Membership Form
We are excited you have made the choice to join New Life Encounter Church! Please complete this form if you are joining or have accepted Jesus Christ as your Lord and Savior. Welcome to New Life Encounter!
Name
First Name
Last Name
Type of Membership
Please Select
Online Member
Watch care Member
In-Person Member
I Accepted Jesus TODAY
I am returning to Jesus
What is Watch Care? Here at NL Encounter, we offer a chance for you to join as a "watch care" member allowing our Lead Pastors to shepherd you as you seek guidance from the Lord on permanent membership.
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation
Please enter the the name of your last church home & Pastor
Marital Status
Please Select
Married
Single
Divorced
Separated (legally)
Widow(ed)
What are your talents and/or giftings?
Please share your testimony of salvation?
Best way to contact you to attend our New Members Class.
Please Select
EMAIL
PHONE
Submit
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