New Member Form | First Rockwall

We are excited to have you become a member of our church family. Shirely Womack will contact you for the best date and time for your schedule to join once your new member form is submitted.

Profession of Faith
Transfer
Other Denomination
Baptism

Picture Taken

Yes
No

Member 1:

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Work Phone

Cell Phone

Check One

Single
Married
Widowed

Email

Date of Birth

Place of Birth

Employer/Occupation

Member 2:

Name

First

Last

Work Phone

Cell Phone

Email

Date of Birth

Place of Birth

Employer/Occupation

Wedding Anniversary Date

Church from which you are transferring:

Your Previous Church

Address

Address Line 1

Address Line 2

City

State

Zip Code

Spouse's Previous Church

Address

Address Line 1

Address Line 2

City

State

Zip Code

Please complete the following children's information

(If children are joining)

Name

Gender

Female
Male

Birth Date

Baptism

Confirmation

Name (2)

Birth Date (2)

Gender (2)

Female
Male

Baptism (2)

Confirmation (2)

Name (3)

Gender (3)

Female
Male

Birth Date (3)

Baptism (3)

Confirmation (3)

Name (4)

Gender (4)

Female
Male

Birth Date (4)

Baptism (4)

Confirmation (4)