900 N Main, Searcy, Arkansas (501)268-5383

Downtown Membership Information

Please fill in the following for your family. When you are finished, you will be taken to Step Two - the Involvement Survey, where you let us know ministries in which you are interested. If you prefer, you may print the PDF version of these forms (print Membership form and print Involvement survey), fill them in and turn them in to the church office instead of using the following web forms.

Head of Household
Name:
Date of Birth
Home Address:
City:
Zip
Home phone:
Cell phone:
Personal E-mail:
Have you been baptized for the remission of sins?



Employer
Position
Work Address:
City:
Zip
Work Phone
Ext.
Work E-mail:
Marital Status:

, Anniversary on



Spouse
Name:
Date of Birth
Personal E-mail:
Cell phone:
Baptized for the remission of sins?



Spouse Employer
Position
Work Address:
City:
Zip
Work Phone
Ext.
Work E-mail:

 

Family Information. Please provide the following information for those children living at home.

Name Gender Birth date
Baptized?
 Grade & School











If more children, add their information here:

 

Emergency Contact or Others in Household
Name:

Relationship:

Contact number(s):

Your prior church affiliation:

Location:

Which Sunday morning worship assembly do you / your family most often attend?




Which Sunday evening activity do you / your family most often attend?
8:30 p.m. Family Life Center (school year only)
Small Group with Group Faciliator
None
Do you currently attend a Sunday morning class?



Which Wednesday evening activity do you and your family most often attend?





Shepherding Group Information: Is there a Shepherd of the Downtown congregation with whom you readily identify and / or a Shepherding Group with whom you are connected? (If so, please note):


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