Become a Member

Join the family

We're thrilled about you joining the New Life family! We request the following information concerning you and your family to better aid and serve your needs. Please complete this form so that we may update our Membership Directory. All information is kept confidential by the church office. We love and appreciate you! Thank you.

Date joined (please enter as MM/DD/YYYY format)

Membership Status
Full Membership
Under Watch Care

First Name

Last Name

Phone Number

Alternate Phone Number (if applicable)

Street Address

Address line 2 (enter NA if not applicable)

Country

City

State

Zip/Postal Code

Date of birth (MM/DD/YYYY)

Sex
Male
Female

Marital Status
Single
Married
Divorced
Widowed

Date married (if applicable). Please enter as MM/DD/YYYY format.

Date divorced (if applicable). Please enter as MM/DD/YYYY format.

Please provide a copy of your marriage license or final divorce decree, if either is applicable, to the New Members Director at your class.

Race/Ethnicity
Asian or Asian American
Black or African American
Hispanic or Latino
Native American or Indigenous
White or Caucasian
Mixed or Multiracial
Other

If you selected Other or Mixed or Multiracial, please specify:

Birthplace (please include city, state, and country)

Name of previous church or fellowship (if applicable)

Pastor at previous church or fellowship (if applicable)

Street address of previous church or fellowship (if applicable)

Address line 2 (if applicable)

Country

City

State

Zip/Postal Code

Is your spouse a member of New Life Worship Center?
Yes
No
Not applicable

How'd you hear about us? Select all that apply.
Social Media
Live Stream
Website
Family or Friend
Search (i.e.: Google, Bing)
Other

If applicable, please share the name(s) of the individual(s) who introduced you to New Life Worship Center.

Employer Information

Company name

Phone Number

Address 1

Address 2 (enter NA if not applicable)

Country

City

State

Zip/Postal Code

Occupation/Profession

Please indicate your last level of education completed
Elementary School
Middle School
High School
Certificate
Associate Degree
Bachelor's Degree
Master's Degree
Doctorate Degree

What is your relationship code?
Head of Household (HH)
Spouse (SP)
Dependent (DP)
Other Adult (AD)
Senior Citizen (SC)

To assist us in planning the ministry's financial strategy, please select a box that matches your annual household income.
$10,000 or less
$10,001-25,000
$25,001-35,000
$35,001-45,000
$45,001-60,000
$60,001-75,000
$75,001-100,000
$100,001 or more

Share your hobbies or interests (example: traveling, reading, graphic design). Enter NA if not applicable.

Specialties and skills (examples: construction, painting, computers). Enter NA if not applicable.

Child(ren) 18 and under?
Yes
No

If you have children, please enter their full name, date of birth, and sex (M/F). We'd love to connect you with our Youth Department. If this is not applicable, enter NA

If there are members of your family who are current members of this church, please list their name and relationship to you.

Emergency Contact Information

First Name

Last Name

Phone Number

Address 1

Address 2 (enter NA if not applicable)

Country

City

State

Zip/Postal Code

By submitting this form, you certify all information is true and accurate to the best of your knowledge.

Submit

Become a Member

Join the family

Employer Information

Emergency Contact Information

Service Times

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