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Please fill out the MEMBERSHIP FORM below to become a part of The Worship Center Christian Church family.

Membership Form

First Name

Last Name

Date

Service you are Joining 7:30am Service 9:15am Service 10:45am Service Saturday Night Live 6:30pm Northeast 6:30pm South Revival

Address

City

State

Zip

Home Phone

Mobile Phone

Work Phone

Email Address

Birth Date

Gender

Female

Male

Marital Status Single Married Divorced Widow

Ethnicity Black White Hispanic Asian Other

Employment Status Student Retired Employed Unemployed Self-Employed

Employer or Business Name

Occupation or Job Title

Are You in School?

Yes

No

If yes, School Name

Year or Grade

Name of Spouse or Parents

Are they Members of TWCCC?

Yes

No

Emergency Contact

Relationship

Phone

Child 1 Name

Child 1 Birth Date

Child 1 Joining TWCCC

Yes

No

Child 1 Wish to Be Baptized

Yes

No

Child 2 Name

Child 2 Birth Date

Child 2 Joining TWCCC

Yes

No

Child 2 Wish to Be Baptized

Yes

No

Child 3 Name

Child 3 Birth Date

Child 3 Joining TWCCC

Yes

No

Child 3 Wish to Be Baptized

Yes

No

Have you been Baptized by Immersion

Yes

No

If Yes, on what date were you baptized

Submit Yourself

Yes

No

I am willing to submit myself to the Lord and the leadership of the church, to support its mission by giving tithes and offerings, by volunteering my time and through regular attendance.

Are you saved according to John 3:16 and romans 10:0?

Yes. I have confessed that Jesus is the Son of God, He died on the cross for my sins and rose on the third day.

No

What is the name of your former church?

Were you a Member?

Yes

No

If yes, how long?

Church Address

Church City & State

Indicate the services you need to make your worship more meaningful:

Sign Language

Language Translation

Other Needs

Transportation

Employment

Food

Marriage/Family Counseling

Shelter

Clothing

Please specify other needs.

How did you learn about the Worship Center?

Indicate any special skills or talents you have:

On-campus registration at our Northeast Campus

March - Track 3

April - Track 4

May - Track 5

June - Track 6

July - Track 7

August - Track 8

September - Track 9

October - Track 10

November - Track 11

November - Track 11

None, I'd rather take them online

If you would prefer to take our membership classes at our Northeast Location, please select which track you would like to take. All monthly tracks/classes are held each consecutive Saturday for the selected month. Classes include 101, 201, 301 and 401.

Enter Yes or No if you choose to take Online Classes instead?

(Broadband Internet connection recommended.)

Create a password if you desire to take online membership classes

© The Worship Center Christian Church 2010. All Rights Reserved.
Administrative Offices: 9553 Parkway East, Birmingham, AL 35215 | p. 205.451.1750 | f. 205.451.1759 | www.theworshipcentercc.org