Membership Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Date of Birth
*
/
Month
/
Day
Year
Date
Current Picture
*
If applicable, please upload a picture that includes you, your spouse, and your children.
Do we have permission to publish your name, number, address, and email address in our church directory?
*
Yes
No
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Next
Personal & Family Info
Please select the option that best describes you:
*
Single
Engaged
Married
Separated
Divorced
Widowed
Spouse's name
*
Spouse's date of birth
*
/
Month
/
Day
Year
Date
Do you have children?
*
Yes
No
How many children do you have?
*
Oldest child's name
*
Oldest child's date of birth
*
/
Month
/
Day
Year
Date
Second child's name
*
Second child's date of birth
*
/
Month
/
Day
Year
Date
Third child's name
*
Third child's date of birth
*
/
Month
/
Day
Year
Date
Fourth child's name
*
Fourth child's date of birth
*
/
Month
/
Day
Year
Date
Fifth child's name
*
Fifth child's date of birth
*
/
Month
/
Day
Year
Date
Sixth child's name
*
Sixth child's date of birth
*
/
Month
/
Day
Year
Date
Seventh child's name
*
Seventh child's date of birth
*
/
Month
/
Day
Year
Date
Eighth child's name
*
Eighth child's date of birth
*
/
Month
/
Day
Year
Date
Youngest child's name
*
Youngest child's date of birth
*
/
Month
/
Day
Year
Date
Child's name
*
Child's date of birth
*
/
Month
/
Day
Year
Date
Names & dates of birth for children
*
Are you currently a member of another church?
*
Yes
No
Name of church & city where it is located:
*
Have you ever been baptized?
*
Yes
No
Have your children ever been baptized?
*
Yes, all of my children have been baptized
Some of my children have been baptized
None of my children have been baptized
How did you find out about TCPC?
*
A friend invited me
I found TCPC on the PCA website
I searched Google for churches
I searched Google for PCA churches
I found TCPC through social media
I read one of Robert's articles
Other
What gifts, talents and interests have you used in the past or would like to use to serve Christ in His Church? (i.e., choir, working with youth, evangelism, etc.)
*
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Personal Testimony
This worksheet is to be used to help you think through your own commitment to Jesus Christ and to help us understand your spiritual background. Please endeavor to answer all the questions as completely and specifically as possible. Complete paragraphs would be helpful.
Explain the events that have taken place in your life that led you to the point of knowing and loving Jesus Christ. How did the Christian faith become something that was personal to you?
*
What is the good news of the Christian faith that someone needs to understand in order to become a Christian?
*
Explain how your life is different now that you know and love Jesus Christ.
*
If you wish to make more comments concerning your relationship with God, or you need more room for one of your answers please use the space below.
Submit
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