Membership Form

Full Name *

Contact Details

Address *

Address Line 2

City/Town *

Post Code *

Landline

Mobile *

Email *

Date of Birth *

Day

Month

Year

Marital Status *

Membership category applied for *

Photo *

We ask all prospective members to let us have a photograph of themselves that we can circulate to the members so that we can help them to know who you are and put names to faces.
Files must be less than 5 MB.
Allowed file types: jpg jpeg.

When approximately did you start attending City Church regularly? *

Day

Month

Year

Confirmations

Have you read and are you in agreement with the Church’s Statement of Faith? *

Yes

Have you read and do you agree to respect the Church’s Doctrinal Distinctives? *

Yes

Have you read and do you agree to fulfil the obligations of Church Membership? *

Yes

Have you read and do you agree to lead your life in a manner consistent with the Church’s Ethical Statements? *

Yes

Have you read the purposes of the church and do you agree to exercise any rights that you have as a member in the way that you believe in good faith is most likely to further these purposes? *

Yes

Your Faith

When and how did you become a Christian? *

Have you been baptised as a believer? *

Yes

When were you baptised?

Day

Month

Year

Previous Church

I've never attended a church before

At your previous church, have you had opportunity to serve in any ministry areas? If so please provide details:

Please state your reason for leaving your previous church

Reference

Please provide the name and contact details of someone in leadership at your previous church/your home church who we could contact to provide a brief reference. If you can’t provide a reference please tell us why.

Full Name

Position they hold in the Church

Name of Church

Address of Church

Email of Contact

Telephone of Contact

I can't provide a referee

Reason for not providing referee *

We will deal with your information in accordance with our privacy statement.

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