Member Registration Renewal

CONTACT INFO

* Title

Mr. Mrs. Ms.

* First Name

Middle Name

* Last Name

* Date of Birth

* Address Line 1 (Street or PO Box #)

Address Line 2 (Apartment, Suite #, Building, Floor, etc.)

* City

* State/Province/Region

* Zip/Postal Code

Country

* Phone #

* Email

FAMILY INFO

* Marital Status

Single Married Widowed Divorced

SPOUSE Title

Mr. Mrs. Ms.

SPOUSE First Name

SPOUSE Last Name

SPOUSE Date of Birth

SPOUSE Phone #

SPOUSE Email

Is your spouse a New Life member?

Yes No

If YES, please request spouse to complete a Membership Registration page as well.

CHILDREN INFO

Any child over 18 should fill out his/her own membership registration renewal form (you do not need to fill out info for children over 18 on your form).

Name #1

Gender #1

Male Female

Date of Birth #1

Name #2

Gender #2

Male Female

Date of Birth #2

Name #3

Gender #3

Male Female

Date of Birth #3

Name #4

Gender #4

Male Female

Date of Birth #4

Name #5

Gender #5

Male Female

Date of Birth #5

MEMBERSHIP STATUS

* Have you ever completed New Member’s classes at New Life, or "Discover New Life" Classes?

Yes No

If so, what year did you complete them?

* Please select your current level of membership:

VISITOR: I periodically attend/stream worship services, but have not had the opportunity to get connected. REGULAR ATTENDEE: I have NOT completed Discover New Life or New Member’s classes, but I regularly attend/stream worship and/or I am involved in a New Life Ministry or Life Group. OFFICIAL MEMBER: I have completed New Member’s Classes and/or Discover New Life and I regularly stream worship and/or participate in a New Life Ministry or small group. RE-ENGAGING MEMBER: I have completed New Member’s classes or "Discover New Life", but I haven’t regularly streamed worship or participated in ministry events due to the Pandemic or other personal challenges. I want to re-engage.

MINISTRY ACTIVITY

* Are you currently, or have you ever been active in a New Life Ministry or Life Group?

Yes No

If YES, please list the group, as well as the number of years you have been active in that group.

If YES, please list the group, as well as the number of years you have been active in that group. #2

If YES, please list the group, as well as the number of years you have been active in that group. #3

Member Registration Renewal

Update Your Information