Westside Church Membership Profile Form
Welcome to the Westside Church Family! Please fill out the form below. Your profile will be entered in our secured database Community Church Builder (CCB), and an activation link will be emailed to you for access.
* Required
Option 1
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Last name, First name
*
Your answer
Cell phone #
*
Your answer
Address (Street address, City, zip code)
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Baptism date
*
MM
/
DD
/
YYYY
Discipling Partner (if available)
Your answer
Weekly Contribution / Pledge
*
Your answer
Membership Start Date
*
MM
/
DD
/
YYYY
How did you join?
*
Choose
Baptism
Placed membership
Restoration
Transfer from other LAICC ministry
Move-in from other ICOC ministry
If Transfer or Move-in, please indicate name of church, city and state
Your answer
Submit
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