Grace Temple Missionary Baptist Church

1019 E 31st Street, Tucson, Arizona 85713
Office (520) 622-8126 – Fax (520) 770-1757

MEMBERSHIP FORM

NAME*

GENDER

DATE OF BIRTH*

EMAIL*

HOME ADDRESS*

HOME PHONE

CELL PHONE

Details of children living with you

NAME

DATE OF BIRTH

SCHOOL GOING?

ACTIONS

CONTACT NAME:

PHONE

RELATION WITH CONTACT

We would like to have your permission to publish your information and picture in our church directory.

CONSET

If you are under 18 years of age we need initials of parent or guardian

PARENTS CONSET

HAVE YOU BEEN BAPTIZED?

IF YES, WHEN?

ARE YOU JOINING OUR CHURCH?

LAST CHURCH ATTENDED

DO YOU HAVE ANY MINISTRY EXPERIENCE(I.E) USER OR DEACON?

IF YES, WHICH MINISTRY:

WHEN/WHERE YOU CAN ATTEND SERVICE?

If you have any questions, please call our office at (520) 622-8126