About
About Lakeshore
What We Believe
Distinctives
Our Mission
Leadership
MINISTRIES
Kids
Women
Men
Prayer
Worship
Care Team
NEXT STEPS
Connect With Us
Events
Community Groups
Membership
Serve
RESOURCES
Sermons
Church App
Bible Reading Plan
Helpful Articles
Give
About
About Lakeshore
What We Believe
Distinctives
Our Mission
Leadership
MINISTRIES
Kids
Women
Men
Prayer
Worship
Care Team
NEXT STEPS
Connect With Us
Events
Community Groups
Membership
Serve
RESOURCES
Sermons
Church App
Bible Reading Plan
Helpful Articles
Give
Membership Application
Information
Name
*
First Name
Last Name
Email Address
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
*
MM
DD
YYYY
Occupation
*
Are You Married?
*
Yes
No
Spouse Name
If yes to the question above, please list your spouse's name and date of birth
First Name
Last Name
Spouse Date of Birth
MM
DD
YYYY
Children & DOB
Please list any children and DOB for each
Your Faith
Have you repented of your sins and placed your faith in Jesus Christ?
*
Yes
No
I Don't Know
If yes to the above, when?
Have you been baptized by immersion in water?
*
Yes
No
If yes to the above question, when and by what church?
Church History
Have you ever been a member of a church?
*
Yes
No
If yes to the question above, give the name, full physical address, and contact of the church (email or phone).
Are you currently a member of a church?
*
Yes
No
If yes to the question above, give the name, full physical address, and contact of the church (email or phone).
Why do you want to be a member of Lakeshore City Church?
*
How long have you been attending Sunday services at Lakeshore City Church?
*
Thank you!