CityPoint Community Church Membership Database
Please take a moment to complete this form for our official records.
First Name *
Your answer
Last Name *
Your answer
Title
Mailing Address *
Street Number, City, State, Zip Code
Your answer
What side of town do you best identify with? *
Phone Number *
Your answer
E-mail Address *
Your answer
Occupation/Industry
Your answer
Do you have relatives that attend CityPoint Community Church? *
Spouse
Your answer
Children
Your answer
Parents
Your answer
Birthday
MM
/
DD
/
YYYY
Have you accepted Jesus Christ as your Lord and Savior? *
Have you been water baptized? *
Would you like to sign up for our church newsletter? *
Would like to sign up for text message updates? *
Would you like to learn more about getting involved with a CityPoint ministry? Please check all that apply.
Additional Notes
Your answer
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