Membership Application

We are thrilled to have you here at Midlands Church and that you are interested in taking the next step towards membership! Please take a moment to fill out this membership application. One of our elders will follow up with you to schedule a time to meet with some of the elders.
Name and Contact Info

 
 
 
 
 
 
Spouse Information

If you are married, please provide the following info about your spouse.
 
 
Children's Information

If you have children, please use the following text field to tell us their name(s) and birth date(s):
 
 
 
 
Spiritual Information

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Church Information

 
 
 
 
 
 
 
Please select one option.
Please select one option.
 
 
 
 
Abilities and Interests

Please select all that apply.
Please select all that apply.
 
 
 
 
General Questions/Comments

 
 
 
 

Description

We are thrilled to have you here at Midlands Church and that you are interested in taking the next step towards membership! Please take a moment to fill out this membership application. One of our elders will follow up with you to schedule a time to meet with some of the elders.