Membership Application – IGLESIA LA LUZ DE CRISTO

La Luz de Cristo header

Membership Application

"*" indicates required fields

Personal Informacion

Name if applicant*

First Last

Address*

Street Address City State ZIP Code

Phone*

Date of Birth*

Gender*

Email

Baptized*

Have you received discipleship?*

Name of church you previously attended( if applicable)

Address

Name of Pastor

Phone Number

Family Members

Name

First Last

Relationship

Date of Birth

Name

First Last

Relationship

Date of Birth

Name

First Last

Relationship

Date of Birth

Name

First Last

Relationship

Date of Birth

Reason for which you are requesting to be a member of this ecclesiastical institution

Area in which you would like to serve*

I request this application to be a member of the Church of the Light of Christ, affiliate, work and commit to the ministry. If accepted by La Luz de Cristo Church, I firmly and faithfully propose to taste and abide by all regulatory impositions and beliefs stipulated in the creed of La Luz de Cristo Church.

Applicant digital signature*

Today's Date