Membership Form
7855 30th Sideroad, Alliston
Name
*
First Name
Last Name
Gender
Male
Female
Date of Birth
-
Month
-
Day
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
Have you ever obtained a title through ordination?
Yes
No
If so, when and where?
Name of Parent/Guardian (if under the age of 18)
First Name
Last Name
Do you have membership in any other church?
Yes
No
If so, where? How long have you been a member there?
What are some of your talents and/or gifting?
Is there a particular role/ministry you are interested in been apart of?
Are you a born again Christian (water baptized by full immersion)?
Yes
No
Could you share with us a short testimony of your salvation?
Have you been filled with the Holy Spirit with the evidence of speaking in tongues?
Yes
No
Signature
*
Submit
Should be Empty: