Lafayette Vineyard Church - Membership Application Form

Membership Application Form

Carefully pray and read about membership commitment. If you believe God wants you to make this commitment, fill out and sign this Membership Application. Only one application per family is necessary.

First Name

Last Name

Phone Number

Email Address

Marital Status
Single
Married
Divorced
Widowed

Spouse First Name

Spouse Last Name

Spouse Phone Number

Spouse Email

Children's Names, Birthdates, Male/Female

Address 1

City

State

Zip/Postal Code

Country

Have you been saved by Jesus?

Have you been baptized in water?

Are you in agreement with our Statement of Faith?
Yes
No

Are you in agreement with our Statement of Core Values?
Yes
No

Have you been baptized with the Holy Spirit?

Would you like to receive Vineyard Church-Wide emails?

Would you like to receive prayer requests from Vineyard Prayer Chain?

Have you downloaded our App?

Message

Submit

Membership Application Form

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