ALIVE CITY CHURCH MEMBERSHIP FORM

ALIVE CITY CHURCH MEMBERSHIP FORM
Here at Alive City Church we are always excited and ready to receive new family members and we look forward to building and worshipping with you.

By completing this form you are confirming that you would like to be an official member of Alive City Church

Please fill out all sections of the form below.
Todays Date

DayMonthYear
Date
Title*
Name*

First NameLast Name
Date Of Birth*

DayMonthYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number*
Occupation (Optional)*
Email Address*
example@example.com
Are you happy for your contact number to be added to the ACC members broadcast to receive all the latest updates on what is happening within the ACC community?*

YesNo
Have you been baptised*

YesNoNo, but I would like to be
Are you moving to ACC from another church ?*
If yes, what church were you previously a member of or attending ?*
What would you like to see in Alive City Church *
All personal information will be kept confidential and will not be shared with any external third parties.

Please save the church office number so you don't miss any updates

ACC Office Number: + (0) 7923946680
The next section of the form is only for those who are under the age of 18 yrs, and will need to be signed by your parent or legal guardian to confirm they are aware of you taking membership here at Alive City.
Name
Relationship to member
Date

DayMonthYear
Date
Signature*

Clear
Should be Empty: