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ABOUT
NEW MEMBERS
MINISTRIES
EVENTS
LIVE STREAM
GIVE
STORE
CONTACT US

Please fill out the form and download the orientation booklet.

* Indicates required field

Name

Gender

Male Female

Membership *

Local Membership E-Membership

Birthdate

Home Address

Mailing Address

Phone Number

Email

Are You Relocating From Another State? If So, Where & How Long?

Marital Status

Single Married Divorced Separated

Spouse's Name

Anniversary Date

Children’s Name & Age

Emergency Contact Person Name, Phone # & Relationship To You:

Please List Any Medical Conditions Or Allergies

Place of Employment, Where & How Long

Last or Current Church Membership Name & Denomination

Pastor’s Name & Phone

If needed upon request, are you willing to have a letter of recommendation sent on your behalf from your former church?

YES NO

Have You Accepted Christ As You Lord And Personal Savior?

YES NO

Do You Believe In The “Holy Trinity”; God The Father, God The Son & God The Holy Spirit?

YES NO

Have You Been Water Baptized? If So, When & Where:

Are You Affiliated With Any Organization? (i.e. Masons, OES, Shriners or Red Hats)

Have You Ever Been Convicted Of A Sex Crime?

YES NO

Do You Understand The “Vision” & “Mission” Of Redeemed By The Blood Pentecostal COGIC?

YES NO

Please List Crime & Date Convicted

As A Member; Will You Support Redeemed by the Blood Pentecostal COGIC With Your: Attendance, Prayers, Gifts, Talents, Tithes & Offerings?

YES NO

Please List Crime & Date Convicted

Please List Any Areas Of Ministry You Would Like To Serve In

Please Describe Your Spiritual Goals, Journey & Purpose

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HOME
ABOUT
NEW MEMBERS
MINISTRIES
EVENTS
LIVE STREAM
GIVE
STORE
CONTACT US

HOME
ABOUT
NEW MEMBERS
MINISTRIES
EVENTS
LIVE STREAM
GIVE
STORE
CONTACT US