Membership and Contact Form

Welcome to The Message Church Family. Please fill out this form and click submit. Only one form submission is needed per family. Thank you.

Date

*

Name of primary/head of household

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Date of birth

Gender

*

Please select all that apply.

Male Female Other/non-identifying

Marital status

*

Please select one option.

Unmarried/single Married

Spouse's name (if applicable)

Spouse's email

Spouse's phone number

Anniversary date

Children's Information (for Kidz Zone). List your children's name(s), age(s) and grade(s).

EX: Name, 7yo, 1st

Is your child(ren) a special needs child who requires accommodations?

Please select all that apply.

Yes No

Please list accommodations.

Please list any food allergies for your child(ren) and their name(s).

Please provide an emergency contact's name, relationship, cell phone number.

EX: Name, Sister, 602-999-9999

*

Area of Ministry Interest

Please choose an area of ministry in which you would like to serve or need more information.

Mark all that apply.

Please select all that apply.

Hospitality Adult ministry (men, women, seniors 65+) Children (3 to 13) Youth (14 to 21) 5 Fold Facilities (maintenance, security, transportation) Marriage Praise and worship Special events Community outreach A/V Team and Production Social media

PLEASE NOTE: Some questions have required responses and the form cannot be submitted if all required answers are not completed.

Description

Welcome to The Message Church Family. Please fill out this form and click submit. Only one form submission is needed per family. Thank you.

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