Northwest Christian Church - IA

Thank you for filling out this form for us! Your personal information is never shared with outside parties. Contact information is collected solely for the purpose of communicating about events, giving statements, announcements from the church, etc. If you have any questions, let us know!

Personal Information Form

Full Name

Address

City

State

Zip

Birthdate

Marital Status

Phone Number

Cell Phone

Secondary Phone Number

Cell Phone

Have you been baptized?

Yes

Are you:

A member of Northwest Christian Church

A regular attender

Friend (member elsewhere but enjoy being connected with Northwest.)

Interested in becoming a member (see bottom of form)

Family (if applicable)

Spouse Name

Spouse Phone Number

Cell Phone

Birthdate

Has he/she been baptized?

Yes

Spouse Email

What we believe at Northwest
About Membership
Membership Covenant

Optional

I would like to place my church membership with Northwest Christian Church. I have read the Membership Covenant and agree with it.

I agree

Yes

Signature

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