FAM______
[pic]
THE PARK MINISTRIES
Membership Information Card (PLEASE PRINT)
Name: __________________________________________ Gender: _________ Marital Status: ____________________ DOB: ___/___/____
Address: _____________________________________________________City: _______________________State:_____ Zip code________________
E-mail:_________________________________ Occupation:___________________ phone(H):___________________phone(C):_________________
Are you related to a current member of The Park Ministries? _______ if yes; member’s name and relationship: _____________________________
Are you a current college student? Y___ what college?_________________________ Emer. Contact Name/Phone:____________________________
** Other (Youth only) I would like to become a member of this church, but my parents are not in church today, they must be
(between the age 5-15) contacted before I can become a member. (*NOTE: Assimilation Leader, if parent is in the Adult
Membership Room,*PLEASE OBTAIN DECLARATION INFO. FROM CHILD’S PARENT)
*DECLARATION INFORMATION
Desires Membership by: (PLEASE CHECK ONLY ONE BOX.)
□ Baptism I want to be baptized into the Christian faith by water immersion.
□ Christian Experience/Letter I was a member of another Christian church and I have accepted Jesus Christ as my personal Savior
and/or a Letter will be sent from my previous church.
□ Watch Care I am in Charlotte temporarily for work or school; and am currently a member of another church.
Church Name:_______________________ Location:______________________
□ Restoration I am a former member of this church and I would like to be restored back into membership.
The last time I regularly attended this church. ____mm/____yy
[pic]
THE PARK MINISTRIES
Membership Information Card (PLEASE PRINT)
Name: __________________________________________ Gender: _________ Marital Status: ____________________ DOB: ___/___/____
Address: _____________________________________________________City: _______________________State:_____ Zip code________________
E-mail:_________________________________ Occupation:___________________ phone(H):___________________phone(C):_________________
Are you related to a current member of The Park Ministries? _______ if yes; member’s name and relationship: _____________________________
Are you a current college student? Y___ what college?_________________________ Emer. Contact Name/Phone:____________________________
** Other (Youth only) I would like to become a member of this church, but my parents are not in church today, they must be
(between the age 5-15) contacted before I can become a member. (*NOTE: Assimilation Leader, if parent is in the Adult
Membership Room,*PLEASE OBTAIN DECLARATION INFO. FROM CHILD’S PARENT)
*DECLARATION INFORMATION
Desires Membership by: (PLEASE CHECK ONLY ONE BOX.)
□ Baptism I want to be baptized into the Christian faith by water immersion.
□ Christian Experience/Letter I was a member of another Christian church and I have accepted Jesus Christ as my personal Savior
and/or a Letter will be sent from my previous church.
□ Watch Care I am in Charlotte temporarily for work or school; and am currently a member of another church.
Church Name:_______________________ Location:______________________
□ Restoration I am a former member of this church and I would like to be restored back into membership.
The last time I regularly attended this church. ____mm/____yy
[pic]
THE PARK MINISTRIES
Membership Information Card (PLEASE PRINT)
Name:__________________________________________ Gender:_________ Marital Status:____________________ DOB : ___/___/____
Address:_____________________________________________________City: _______________________State:_____ Zip code____________
E-mail:_________________________________ Occupation:___________________ phone(H):___________________phone(C):_________________
Are you related to a current member of The Park Ministries? _______ if yes; member’s name and relationship: _____________________________
Are you a current college student? Y___ what college? _________________Emer. Contact Name/Phone:____________________________________
Other (Youth only) I would like to become a member of this church, but my parents are not in church today, they must be
(between the age of 5-15) contacted before I can become a member. (*NOTE: Assimilation Leader, if parent is in the Adult
Membership Room,*PLEASE OBTAIN DECLARATION INFO. FROM CHILD’S PARENT.)
*DECLARATION INFORMATION
Desires Membership by: (PLEASE CHECK ONLY ONE BOX.)
□ Baptism I want to be baptized into the Christian faith by water immersion.
□ Christian Experience/Letter I was a member of another Christian church and I have accepted Jesus Christ as my personal Savior
and/or a Letter will be sent from my previous church.
□ Watch Care I am in Charlotte temporarily for work or school; and am currently a member of another church
Church Name:_______________________ Location:______________________
□ Restoration I am a former member of this church and I would like to be restored back into membership.
The last time I regularly attended this church. ____mm/____yy
-----------------------
Office Use Only
Member #:__________
First Friend__________________________
Today’s Date:____/____/____ 8:45____ 10:45____ TPC Online
Today’s Date:____/____/____ 8:45____ 10:45 ____ TPC Online
Office Use Only:
Member #:__________
Office Use Only
Member #:__________
Today’s Date:____/____/____ 8:45____ 10:45____ TPC Online
First Friend______________________________
First Friend______________________________
................
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