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New Members Form
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New Members Form Entry
Please fill out the form below to be contacted by a Champions Team Member with more information.
First Name
First Name is required.
Last Name
Last Name is required.
Email Address
Email address is not valid
Email Address is required.
Phone Number
Phone Number is required.
Phone Type
Mobile
Home
Work
Phone Type is required.
Address
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Birthday
Birthday is required.
Gender
Unknown
Male
Female
Marital Status
Married
Single
Divorced
Widowed
Joining As
Individual
Family
Joining As is required.
Family Size
Family Size must be between -2147483648 and 2147483647
Does your spouse attend Champions City Church?
No
Yes
How did you hear of Champions City Church?
How did you hear of Champions City Church? is required.
Have you accepted Jesus as your Lord and Savior?
No
Yes
If so, when and where?
Have you been baptized by water immersion? (Not as an infant)
No
Yes
If yes, when and where?
If no, would you be interested in obtaining water baptism information? (Matthew 3:13-15)
No
Yes
Have you been instructed on the baptism of the Holy Spirit with the initial evidence of speaking in other tongues?
No
Yes
If no, would you like more information?
No
Yes
Have you received the baptism of the Holy Spirit according to Acts 2: 1-4?
Have you received the baptism of the Holy Spirit according to Acts 2: 1-4? is required.
If yes, when? If no, are you wiling to pray fully willing to seek to receive?
Do you seek to have a time of devotions (prayer and bible study) each day?
No
Yes
As a member of Champions City Church, you will be asked to get involved in volunteering for ministries. Would you be interested?
No
Yes
List denominations and churches where you have regularly attended before: Please include City, State.
Submit