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Personal Information

Name(Required)

First Last

Contact Details

Email Address(Required)

Phone Number(Required)

Address

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Date of Birth(Required)

MM slash DD slash YYYY

Marital Status:

Spiritual Background

Date of Salvation/Baptism

MM slash DD slash YYYY

Briefly share your faith journey (100 words or less):(Required)

Previous Church Affiliation (if applicable):

Church Name

Location

Membership Commitment

Statement of Faith Agreement

I confess Jesus Christ as my Lord and Savior and agree with [Church Name]’s core beliefs and mission.

Participation Commitment

I commit to actively participate in worship, fellowship, and ministry opportunities as able.

Volunteer Interests

Join a Ministry (check all that interest you):

Prayer Team

Hospitality

Usher

Youth Ministry

Special Events

Community Outreach

Hospital Ministry

Skills or Gifts You’d Like to Share (optional):

Additional Details

Emergency Contact:

Name

Relationship

Phone

Submission & Consent

I consent to Kingdom Purpose Church Houston. storing my information for membership purposes and church communications.

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