New Member 17+

"Where Christ is the way and the Word is clear"
New Member Enrollment Form Member 17+
TODAY'S DATE

Month Day Year
Date
Time

Hour Minutes

AM/PM Option
Service

Sunday Tuesday Communion Other
If (other) please describe
NAME
STREET ADDRESS
APT #
CITY
STATE
Zip
PHONE: (Home)
PHONE: (Work)
PHONE: (Cell)
EMAIL
example@example.com
DATE OF BIRTH

Month Day Year
Date
UNDER AGE 18

Yes No
Gender

Male Female
MARITAL STATUS

Single Married Separated Divorced Widowed
OCCUPATION
MEMBERSHIP CANDIDACY (CHECK ONLY ONE IN THIS SECTION)

New Christian (today) Recommitment Already a Christian Watchcare
Check this box if you need baptism

Yes
Member Name (1)
Relationship (1)
Membership Status (1)

Already A Member Joining Today
Member Name (2)
Relationship (2)
Membership Status (2)

Already A Member Joining Today
Member Name (3)
Relationship (3)
Membership Status (3)

Already A Member Joining Today
Member Name (4)
Relationship (4)
Membership Status (4)

Already A Member Joining Today
If you have immediate family (i.e., spouse, children, parents) who are already members of New Horizons Church or are joining with you today AND they are living at the address listed above please print their information below.
MINISTRY INTEREST (CIRCLE 1 - 3 AREAS OF INTEREST)

Clear Word (Tape/CD) Wellness Ministry Music & Dance Hospitality(Ushers & Greeters) Congregational Care Media - Sound & Presentation Evangelism Nursery Children’s Church High School Ministry Parking Lot Security Education Ministry Intercessory Prayer Women’s Ministry Men’s Ministry New Member Follow-up Technology
New Member Follow up Steward
Should be Empty:

New Member Enrollment Form Member 17+