Membership Information Form

Holy Redeemer Institutional Church Of God In Christ Membership Information Form
We are embarking on an exciting journey to better connect with and serve our cherished church family. To ensure that we can keep you informed about church activities, events, and important updates, we are updating our member records. Your participation in this process is invaluable. Whether you are a long-standing member or new to our congregation, we appreciate your commitment to our church community. Please take a few moments to fill out this Membership Information Form with your current details. This will help us maintain accurate records and enhance our ability to serve you and your family more effectively. Thank you for your cooperation and continuous support in making our church a vibrant and welcoming place for all.
Personal Information
Name*

First NameLast Name
Marital Status
If married, please provide your spouse name: PLEASE NOTE IF YOUR SPOUSE IS A MEMBER THEY SHOULD COMPLETE A SEPERATE FORM

First NameLast Name
Are you married or single?*

MarriedSingleWidowed
Contact Information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address:*
example@example.com
Cell Number
Please enter a valid phone number.
Home Number
Please enter a valid phone number.
Other Information
Birth Date:

MonthDayYear
Date
Are you currently a member of our church?*

YesNo
If not a member, would you be interested in our New Member Class?

YesNo
If yes, date you joined Holy Redeemer:

MonthDayYear
Date
Church Involvement

	Please list any auxiliaries/ministries you are currently a part of:
1
2
3
4
5

Ministry Interests
Are you interested in joining any of the following ministries? (Please check all that apply)

ChoirEducation TeamMedia TeamNew MembersOutreach MinistryParking Lot MinistryPastors AidSunday SchoolNurses MinistryPublic RelationsSecurity TeamUsher BoardYouth MinistryChildren's MinistryYoung Adult MinistryBandHospitality MinistryMedical and Health Partnerships
Family Information
Do you have any children/grandchildren under 18 living in your household?

YesNo
If yes, please list their names and ages. Add more lines as needed.
Feedback and Suggestions
When you are streaming our services, what is your preferred method of streaming?
What ministries, activities, events would you like to see introduced or expanded at Holy Redeemer?
Should be Empty:

Holy Redeemer Institutional Church Of God In Christ Membership Information Form

Personal Information

Marital Status

Contact Information

Other Information

Church Involvement

Ministry Interests

Family Information

Feedback and Suggestions