Membership Application
Thank you for your interest in applying for membership at Roots Community Church! This online application will collect your basic information and allow you to use an electronic signature to express your understanding of and agreement with our Statement of Faith and Church Covenant. Both of these documents can be viewed here:

Statement of Faith: https://www.csmedia1.com/rootschurch.net/statement-of-faith.pdf
Church Covenant: https://www.csmedia1.com/rootschurch.net/church-covenant-v4.pdf

After the completion of this application we will reach out to you to schedule an interview with a pastor.
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Contact and Family Information
Email Address: *
First/Last Name: *
Current Address: *
Phone Number: *
Marital Status: *
Spouses Name:
Do you have any children?
Clear selection
If yes, what are their names and ages?
Testimony and Church Background
Have you ever been baptized? If so, when and where? *
What church did you last regularly attend? *
What was your reason(s) for leaving? *
Have you ever been under church discipline or asked to leave a church? *
If so, what happened?
Please write out a brief description of your conversion: *
Membership Affirmations
Have you read and are you in agreement with our Statement of Faith? *
If no, what is your concern or hesitation?
Have you read and are you in agreement with our Church Covenant? *
If no, what is your concern or hesitation?
With love and restoration as our goal for a wayward member, do you understand that Roots Community Church will employ church discipline according to the steps outlined in Matthew 18:16-18 when absolutely necessary? *
Electronic Signature
I, the undersigned, wish to commit to membership with Roots Community Church. I have read and affirm both the Statement of Faith and Church Covenant.
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