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Membership Form

Thank you for your inquiry into New Mercies Christian Church. Please fill out the form below so we can learn more about you and better serve you. If you have any questions please feel free to contact us at newmembers@newmerciescc.org.

Personal Information

First Name

Middle Inital

Last Name

I am interested in:

Any other family member a member of New Mercies?

Spouse

Child(ren)

Parent(s)

Other

How do you attend our worship services?

Virtual only

In-Person only

Both

Prefix:

DOB

Gender

Male

Female

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

Email

Ae you deaf or hard of hearing?

Yes

No

Marital Status & Other Family / Household Member(s)

Marital Status

Single

Married

Separated

Divorced

Widowed

Is your spouse joining today?

Yes

No

Spouse First Name

Spouse Last Name

Spouse DOB

Spouse Phone/Mobile

Spouse Email

Are you currently a college student between the ages of 17-23 years?

Yes

No

Child #1

_

Child #1 DOB

Child #1 Gender

Male

Female

Child #2

_

Child #2 DOB

Child #2 Gender

Male

Female

Child #3

_

Child #3 DOB

Child #3 Gender

Male

Female

Child #4

_

Child #4 DOB

Child #4 Gender

Male

Female

Former Church Information

Church Name

Pastor Name

City, State

Positions Held:

Have you been Ordained or Licensed?

Yes

No

Title held:

Date

Emergency Contact Information

First Name

Last Name

Relationship

Phone #1

Phone #2

Email

WHAT WE BELIEVE

Our Charge
Baptism
Baptism Form
Salvation
Statement of Faith
Stewardship
Our Story
Meet Our Pastor
Membership
- I Want To Be A Member!
- Spiritual Gifts Test

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We Will Be Live In