Members Information Submission Form | New Days Community Church

Name (Required)

Email Address (Required)

Suffix

Jr., Sr., I, II, III, etc.

Preferred Name

Gender (Required)

Male

Female

Your Address (Required)

Your Phone Number (Required)

Membership Status (Required)

In updating or editing, you may omit any questions that are already answered and still up to date.

Birthday

Area of Ministry Interest

What day did you join New Days?

Please list the date you joined New Days. If you do not recall the actual date, please add the approximate date in the comment section at the end. Thanks!

Have you invited Christ into your life?

Have you been baptized?

How did you find out about New Days?

Where did you worship before coming to New Days?

Were you a member of a church before New Days?

If so, what is the church's name, city, state?

Marital Status

Place of Employment

If applicable.

Allergies or Medical Info

Are there any medical conditions or allergies for you or those joining that we need to know about in case of an emergency?

Emergency Contact (Required)

In the event of an emergency, who do we contact? Phone number?

Next of Kin (Required)

Name / Relationship

Are you joining as a family?

If you are joining as a family, please complete the next section, otherwise you may forgo the next set of questions. Thanks!

Spouse's Name

Spouse's Preferred Name

Spouse's Phone Number

Spouse's Email Address

Spouses Date of Birth

Spouse's Area of Ministry Interest / Service?

Has your spouse invited Christ into their life?

Has your spouse been baptized?

Spouses Place of Employment

If applicable

Are any minor children joining with you today?

If so, please list the name(s), gender, and date(s) of birth for each minor child that is joining with you today.

Wedding Anniversary

Additional comments?

Solve 2 + 7 = ?

New Days Community Church

901 N Broadway Avenue
Tyler, Texas 75702

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