Membership Form | NYCCOC in Brooklyn
This is a basic membership form for the NYC Church of Christ in Brooklyn. ALL PERSONAL INFORMATION WILL BE KEPT PRIVATE. Note that, if you currently are not a member, filling out this form doesn't add you to our membership list. In this case, please contact any ministry leader or email brooklyn@nyccoc.net for details on how to become part of the NYC Church of Christ. Thank you!
Email address *
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
Apartment Number (if applicable)
Your answer
City *
Your answer
State *
Your answer
ZIP Code *
Your answer
Gender *
Phone Number *
Your answer
Birthday *
MM
/
DD
/
YYYY
Baptism Date *
Your answer
Life Status (check all that apply) *
Required
If married, what's your spouse's name?
Your answer
Can we add you to the following? (your info is kept private and you can always unsubscribe later)
A copy of your responses will be emailed to the address you provided.
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