Westside Church Membership Profile Form
Membership Profile Form
* Required
Email address
*
Your email
Membership Start Date
*
MM
/
DD
/
YYYY
Last name, First name
*
Your answer
Address - street address, city, state, zip
*
Your answer
Home #
Your answer
Cell #
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Baptism date
*
MM
/
DD
/
YYYY
Ministry
*
Choose
Family
Singles
Campus
Teens
Weekly Contribution Pledge (per week giving)
*
Your answer
Discipleship partner
*
Your answer
How did you join?
*
Choose
Baptized
Transferred from another Coastal LA sector
Move-in from another ministry (outside of Coastal LA)
Restoration
Placed membership
Former ministry, if transfer or move-in (Pls indicate church & sector/region)
Your answer
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