The C3 Houston Membership Form-Online

CORNERSTONE COMMUNITY CHURCH
MEMBERSHIP FORM

Rev. Dr. Calvin J. McFadden, Sr. Pastor/Founder
email: info@thecornerstonehustonorg
Title
Name

First NameLast Name
Address
Zip Code
Contact Number
Email
example@example.com
Date of Birth

MonthDayYear
Date
Marital Status
Are you connected to anyone at Cornerstone Community Church? If YES, who?
Please list your emergency contact information (name, relationship and phone number)
Children
If they attend church with you and are under the age of 18, please give

name(s) and date(s) of birth) (1) (2) (3)
(1)
Date of birth

MonthDayYear
Date
(2)
Date of birth

MonthDayYear
Date
(3)
Date of birth

MonthDayYear
Date
PREVIOUS CHURCH DETAILS
(Please give name and address of previous church, if applicable, for reference purposes)
Were you a member of your previous church?
If yes, please give dates
Church Name and Address
Zip Code
Pastor
BAPTISM INFORMATION
Have you been water baptized?
Date
Where
Would you like to be added to the C3 Weekly Newsletter?
Would you like to be added to the C3 Text Message Community? (
I confirm that to the best of my knowledge the above information is true. I understand that completion of this form without attending a new membership class and receiving written confirmation does not constitute formal membership.
Signed
Date

MonthDayYear
Date
Should be Empty:

BAPTISM INFORMATION