Crosspointe Membership

Membership Application

Please complete a separate form for each individual in household applying for membership.

Today's Date

Date

Name*

First NameLast Name

Phone*

Email Address*

Date of Birth*

Date

Marital Status*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I have attended a meet and greet. ( This is required. Your membership will not be approved before attending.)*

YesNo

How long have you attended Crosspointe?*

Please list any immediate family members and their ages:*

I have accepted Jesus Christ as my personal Savior.*

YesNo

I have read Crosspointe's Vision and Beliefs.*

YesNo

I commit to serve.*

YesNo

I commit to give.*

YesNo

I commit to agree.*

YesNo