Membership 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

Is this an individual or family membership

Please select all that apply.

This is an individual membership This membership is for myself and my spouse This membership is for myself, spouse and children This membership is for myself and my children

Name of primary/head of household

This address will receive a confirmation email

Phone

Residential Address

Mailing address if different than above

Date of birth

Gender

Please select all that apply.

Male Female

Marital status

Please select one option.

Single Engaged Married Separated Widowed

Spouse Information (if applicable)

Spouse's name

Spouse's email

Spouse's phone number

Spouse's birthdate

Spouse's gender

Please select one option.

Male Female

Anniversary date

Please list your children's name(s), age(s) and grade(s).
*Please list only your minor children. Adult children (18+) must complete their own membership form even if they continue to reside in your home.

Ex: Name, 7yo, 1st Grade

Does your child(ren) have any physical, mental, emotional or health condition(s) which requires any accomodations or special care?

Please select all that apply.

Yes No

Please list the accommodations or care needed

Please list any food allergies for your child(ren) and their names(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 and/or your spouse would like to serve.

Mark all that apply.

Please select all that apply.

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

Please list any questions or concerns you may have regarding your membership.

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.

Membership Form

Description

Please Fix the Following