Keystone Church - Membership Form

First Name

Last Name

Address 1

Address 2

Country

City

State

Zip/Postal Code

Phone Number

Email

Date Of Birth

Keystone Connection

1. How long have you been attending Keystone?

2. How did you first get connected to Keystone Church?

3. Have you participated in a small group at Keystone?

If so, please list the small groups that you have been a part of (Starting Point, Short Term Groups):

Are you currently in a group?

If so, please identify your small group:

5. Have you made a personal decision to receive Jesus Christ as the one and only Savior and leader in your life?

6. Approximately how long ago did you receive Jesus Christ as your Savior?

7. Who has most influenced you to become a Believer?

8. In the space below, please provide a brief testimony of your personal decision to trust in Christ.

9. Have you been baptized in the name of the Father, Son and Holy Spirit?

10. Approximately how long ago where you baptized?

By entering your name into the following field, you agree that it endorses your written signature, and may be used to the full extent thereof.

11. Do you affirm and accept this summary of the Articles of Religion?

12. Are you committed to living a life of submission to Christ and to pursue Christ-likeness?

13. Do you accept the authority of The Wesleyan Church in matters of church government?

14. Are you committed to support, prayer for and live out the mission and vision of Keystone Church?

By entering your name into the following field, you agree that it endorses your written signature, and may be used to the full extent thereof.

First Name

Last Name

Date