MEMBERSHIP FORM

*Please fill out the form as completely as possible.

*Church membership is a personal commitment. Family members must join the church individually by submitting individual forms.

*An elder or pastor will contact you as soon as possible after receiving your completed application.

*Please email theremedychurchmi@gmail.com with any questions or call Pastor Jared at 260.316.5998

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your Faith Story

Tell us a little about how you became a Christian

Your Remedy Story

Tell us a little about how you connected with The Remedy

Have you read The Remedy Constitution?

Yes

I have some questions

Have you read The Membership Covenant?

Yes

I have some questions

Do you commit to The Membership Covenant?

Yes

I have some questions

Your electronic signature

(please type your name below)