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.

Identify which designation you would like to join the church under
Enter your full name
Provide street address and apartment number
Enter your birthday in MM/DD/YYYY format
Please enter the name of your employer. If unemployed type N/A.
Please enter your job title. If unemployed, type unemployed. If retired, type retired.
Please let us know what gifts/talents you may have and how you would like to use them to uplift our church/community.
Name of your emergency contact
Emergency contact's phone number
Relationship to your emergency contact