New Member Information

Today's Date

In order to better serve you once it's safe to return to the physical church location, will you be.....

Full Name

Address

So that we may contact you, a phone number is required. If you only have a home phone, enter n/a in cell phone box. If you only have a cell phone, enter n/a in the home phone box.

Home Phone

Cell Phone

Email is required. If you do not have a email address enter noemail@gmail.com

This address will receive a confirmation email

Birthdate

Gender

Race

Next of Kin Contact Information
This section will be used should you need us to contact your next of kin while you're at church or if we are unable to reach you. Please include the full name, phone number (including area code) and relationship of the contact. We will make contact in the order listed. At least one contact is required.

Full Name Contact 1

Phone Number Contact 1

Relationship 1

Full Name Contact 2

Phone Number Contact 2

Relationship 2

Marital Status

Single Married Divorced Widowed Engaged

If married, will your spouse be joining today?

Spouse First Name, Last Name, Gender and Date of Birth (if applicable)

Please only list children (under age 18) joining with you today that will participate in our Children's or Teen's Ministry. List First Name, Last Name, Gender and Date of Birth for each child. Include your child's cell phone if applicable. Please use one line per child.

Minor Child 1 Information:

Minor Child 2 Information:

Minor Child 3 Information:

Minor Child 4 Information:

Are you making BOCA your Church home today?

Have you committed your life to Christ?

Have you been baptized in Jesus Name?

Baptism Date

Heard about us from?

Do you know someone at BOCA? If yes, please provide their name and their relationship to you.

YOUR PHOTO IS REQUIRED
Upload a photo of yourself, spouse and any children that will be joining today so that we can get to know you better.

Your Photo

Upload (8MB)

Spouse Photo

Upload (8MB)

Photo: Child 1

Upload (8MB)

Photo: Child 2

Upload (8MB)

Photo: Child 3

Upload (8MB)

Photo: Child 4

Upload (8MB)

Please provide any additional information you'd like us to know about you.

Description

Welcome to The Body of Christ Assembly!
Please fill out this form so that we may better serve you as a new member of the BOCA Family.
Click submit when done and you will receive communication via email within 7-10 business days. If you are having trouble submitting the form, please send a email to bodyofchristassembly14@gmail.com with the Subject: "Help with New Member Form" - please include a contact phone number so we can follow up with you.
Thanks!

New Member Information

Description

Please Fix the Following