Membership

Would you like to become a member of Christ Community Church? To begin, please fill out our membership card. Once the information is filled out click the submit button. Your information will be sent to the office and someone will follow up with you soon concerning the next steps!

Membership Card

First Name

Last Name

Phone Number

Email

Birthdate

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Marital Status

Do you have children?

Yes

No

Spouses Name

First Name

Last Name

Phone Number

Email

Birthdate

Child's Name

First Name

Last Name

Gender

Birthdate

Grade your child is currently in or most recently completed (before August 1)