New Membership Request We're excited that you're interested in joining our Brown Memorial family! Please fill out the form below so that we may know a little more about you. Membership Type * Candidate for Baptism WatchCare Christian Experience Identify which designation you would like to join the church under Your Name * Enter your full name Your Email * Street Address * Provide street address and apartment number City, State, Zip Code * Cell Phone Number * Home Phone Number Birthdate (MM/DD/YYYY) * Enter your birthday in MM/DD/YYYY format Sex Male Female Marital Status Single Married Widow(er) Employer Please enter the name of your employer. If unemployed type N/A. Job Title Please enter your job title. If unemployed, type unemployed. If retired, type retired. How would you like to share your talents to work with the church? Please let us know what gifts/talents you may have and how you would like to use them to uplift our church/community. Emergency Contact's Name * Name of your emergency contact Emergency Contact's Number * Emergency contact's phone number Relationship Relationship to your emergency contact How did you hear about Brown Memorial Baptist Church? Family/Friend Church Website Internet Facebook Flyer Passing by Other Submit
