Amazing Grace Christian Church
Pastor Rick Bezanson
7310 W Camelback Rd
Glendale, AZ
(623) 848-1006

Love all people to Christ by becoming Jesus' followers and by enjoying the ever-changing adventure of Jesus

Associate Membership Applaication

Just complete this form. Click on Submit when ready to send.

Your name:	Last Name, First Name & Middle Initial
Email address:
Home Phone:
Work Phone:
Street Address:
City:
State:
Country:
Occupation:
Employer:
If Married Woman, Maiden Name:
Date of Birth:	Month - Day - Year
City/State/Country of Birth:
Date of Baptism:	Month - Day - Year
City/State/Country of Baptism:
Chruch of Baptism:
Date of Confirmation:	Month - Day - Year
City/State/Country of Confirmation:
Chruch of Confirmation:

Male
Female

To Be Received By

Affirmation of Faith

Adult Baptism

Transfer, LCMC Lutheran

Transfer, other Lutheran

Transfer, Non-Lutheran

Marital Status

SingleMarriedWidowedDivorced

City/State/Country of Marriage:
Date of Marriage:

Hobbies & Interests

 

Joining? yes no

Information on Children:

Give names, Dates of birth, City and State where born, Date of Baptism, Place of Baptism and Grades of Children and if they have been confirmed..

Relatives that attend Amazing Grace christian Church:

Believing in Jesus Christ as my savior, and desiring to confess Him and serve Him in His Church, I hereby commit myself for membership in Amazing Grace Christian Church of Glendale, Arizona, USA.