JOIN

At Northridge, we believe the church is a gift everyone deserves to enjoy; a community of people committed to doing life together—enduring
heartaches, celebrating joys, seeking out laughter, and pursuing a more just world as we follow the path Jesus set out for us. If you think Northridge may
be the community for you, please fill out the form below and/or reach out to Rev. Betsy Swetenburg at betsys@northridgepc.org.

New Member Form

Welcome! Please complete this new member information form prior to the day of your official joining. We create your official membership record using the information provided on this form. You will receive further information about our membership database, Realm. While the church needs to keep a record of your information on file, you have the ability to choose what information is made public to the rest of the congregation (i.e. you can decide whether your address, phone number, email, birthday, etc. is visible to someone who searches for you in the directory.) If you have children or youth, you will have the option of making their information public or private as well. The staff would be happy to assist you in making sure your privacy settings are set to your preferences.

Adult # 1(Required)

First Last

Adult # 2

First Last

Home Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Home Phone (if applicable)

Cell Phone(Required)

Email Address(Required)

Adult #1 Birth Date(Required)

Adult # 1: Are you baptized?(Required)

Adult #2 Birth Date

Adult # 2: Are you baptized?

Do you wish to join?(Required)

If you wish to join, how will you be joining?(Required)

Which of the dates below are you available to join?(Required)

June 16

July 21

August 18

September 15

October 20

November 17

December 15

Have you ever been ordained as an elder? If so, where?(Required)

Have you ever been ordained as a deacon? If so, where?(Required)

Emergency Contact (not spouse, if also joining). Name/Relation/Phone Number(Required)

For Letter of Transfer or Affiliation, please provide your previous church's name, address or city, and any family information. (The church office will handle further documentation.)

Child's Name

Birth Date

Grade

Child's Name

Birth Date

Grade

Child's Name

Birth Date

Grade

Occupation Adult #1

Occupation Adult #2

How did you find Northridge? What prompted you to join?(Required)

What types of programs/activities have you been involved in previously (including but not imited to church activities)?(Required)

Other than worship, what connects you to Northridge? What might interest you in the future?(Required)

Tell us a bit about your story.(Required)

How long have you been in Dallas? What are some fun facts about you and/or your family? What do you like to do for fun?

What book, movie, or TV show have you read or watched recently that you enjoyed?(Required)

What questions do you have for our church staff or leadership?(Required)

Do you consent to publication of church photos that you are in?(Required)

JOIN

New Member Form

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