Becoming a Member of Wieuca
Interested in Becoming a Member--From Church Website
* Required
First Name *
Middle Name *
Last Name *
 
Email Address * (For example: name@company.com)
 
Birthday *
 
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
 
  Area Code Phone Number  
Home Phone *
  
Mobile Phone
  
Fax Phone
  
Work Phone
 Ext 
 
What is your relationship status? *
Single
Divorced
Widow(er)
Married/Partner
 
How many, if any, children are still under your care?
0
1
2
3
4
5
6
7 or more
 
I am intersted in... *
Becoming a Member
Speaking with the Pastor about Membership
Getting More Information About WRBC
 
I would like to join Wieuca Road Baptist Church by... *
Profession of Faith
Believers Baptism
Transferring Membership from another Church
 
Are other members of your family interested in joining as well? *
Yes
No
 
Please list full names, birthdates, and way in which family members seek to join (baptism, transfer, etc.).
 
In addition to information about joining WRBC, please send me information about...
Sunday School Classes
Small Groups
Support Groups
Singles Activities
College Activities
Senior Adult Activities
Children's Ministries
Adolescent Ministries
Mission Activities
Volunteer Opportunities @ WRBC
Other
 
What other information may we provide for you?
 
How many times have you participated in worship at Wieuca? *
0
1
2
3
4 or more
 
Are you currently participating in a spiritual formation group (Sunday School, small group)? *
Yes
No
No, but I'd like suggestions on a good group to visit
 
Please let us know what class you've been attending, if applicable.
 
Please tell us about any additional information you would like to provide us/receive from us not covered in this form
 
Multiple family members wishing to join at the same time only need to fill out one form. Thank you.
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