You’re on your way to becoming a C3 Member. Just follow these steps:

  1. Complete and submit the Membership Form below.
  2. A Church Office representative will contact you upon receipt of your application to confirm your information.
  3. You will receive a membership packet in the mail, please review the contents and use the enclosed password to review the membership interest class video.
  4. At the culmination of the video, you will receive the final step to becoming an official Virtual Member of C3.

Welcome to the family!

New Member Form

All information will be kept confidential
* = Required Field

 
Date: *

Tell us about yourself

First Name: *
Middle Initial:
Middle Initial: *
 
Address: *
City: *
State: *
Zip: *
 
Home Phone:
Work Phone:
Cell Phone:
Would you like to receive text message updates:  Yes No
 
Email Address: *
Would you like to receive email updates:  Yes No
 
Gender:  Male Female *
Date of Birth: *
 
Have you accepted Christ as your Lord and Savior?  Yes No *
 

Tell us about your family

Marital Status:  Single Married *
Spouse's Name:
Spouse's Membership Status:  Joining Member Nonmember
Spouse's Work Phone:
Spouse's Date of Birth:
Anniversary Date:
Please list information about your children below:
 

...and in the event of an emergency...

Emergency Contact:
Emergency Contact Phone:
Enter the characters below in the field to the right.
captcha
 

C3 - Comodo Trust Log