Membership Application

Name *

First Name

Last Name

Phone *

(###)

###

####

Date of New to New Life Class *

MM

DD

YYYY

Please check all that apply *

I trust Christ as my personal Savior and Lord.

I have been baptized as a believer.

I desire to become a member of New Life Church.

I agree with the Doctrinal Statement as presented in class.

I agree to keep the covenant as presented in class.

Signature *

First Name

Last Name

Date *

MM

DD

YYYY