Membership Information Form - Fellowship Chicago

Personal Information

Age Group*

Adult
Youth (15 - 18)
Tween (11-14)
Child (3-10)

Name*

First Middle Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Date of Birth (MM/DD/YYYY)*

Gender

Male
Female

Primary Phone*

Alternate Phone

Email*

Marital Status*

Please list any special health conditions:

Emergency Contact Information

Name*

First Last

Address

Street Address City State ZIP Code

Phone*

Email

Relationship*

Employment Information

Industry

Employer

Position/Title

Work Phone

Membership Information

Please indicate the worship service that you joined:*

8:00 AM - Sunday Worship Experience
10:45 AM - Sunday Worship Experience
1:15 PM - Sunday Worship Experience
Refuel Service

Have you ever been Water Baptized?*

Yes
No

Social Media Information & Photo

Facebook

Instagram (i.e. @FellowshipChicago)

Headshot or Quality Image

Max. file size: 256 MB.

We love to share and show the faces of our new family members here at The Ship. Please provide us with a headshot or a quality image to share on our social media pages. No filters, please.

Welcome To Fellowship M. B. Church

Welcome To Fellowship M. B. Church

Congratulations on accepting the invitation to BECOME A MEMBER of FELLOWSHIP CHICAGO

Please complete the MEMBERSHIP INFORMATION form below and our First Touch Ministry will get in touch with you to welcome you and answer any questions you may have about your decision.

Congratulations on accepting the invitation to BECOME A MEMBER of FELLOWSHIP CHICAGO

Please complete the MEMBERSHIP INFORMATION form below and our First Touch Ministry will get in touch with you to welcome you and answer any questions you may have about your decision.

Personal Information

Emergency Contact Information

Employment Information

Membership Information

Social Media Information & Photo