Mount Hermon Baptist Church Membership Information Form

Please fill out the information below to complete your New Member's Profile.

Your name *

Last name

Email address *

Birthday *

Gender *

Male

Female

Address *

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Phone number *

Phone type

Employer/Position

(Optional)

Marital Status *

Are you joining alone or with your family today? *

Alone

With Family

Christian Experience

Tell us about your previous church experience.

Were you a member at a church previously? *

Yes

Have You Been Baptized? *

Yes

Not Sure

Getting To Know You

What are your interests? *

Tell us what you like to do and/or learn about.

What are your talents?

Share what you're naturally gifted at doing.

What are your skills?

Give a brief list of your skills.

Medical note *

Are there medical concerns (i.e. Seizures, Allergies, etc.) that we may need to be aware of? Please list them below. (All information is confidential)

Emergency Contact *

Who may we contact in case of an emergency?

Phone number *

Phone type

May we contact you concerning this information? *

Yes

If "Yes", please designate your preferred method of contact: *

Home

Cell

Work

E-mail

Ministry Interests

Please check the area(s) of ministry you are interested in serving or participating in.

Ministry Departments *

Adult Education

Youth Education

Marriage

Singles Ministry

Hospitality

Outreach

Music

Audio/Media

Greeters / Ushers

Women's Ministry

Men's Ministry

Security

Culinary

Not Sure

Text Alerts are our main method of communication. Do you agree to be added to our Text List? *

We will not share your contact info.
By clicking "I Agree", you agree to receive communications from Mount Hermon Baptist Church (frequency varies). Message and data rates may apply. Text STOP at any time to cancel or text HELP for help.

I Agree

Thank you for completing your New Member's Profile. A member of our Welcome Team will contact you to discuss the next steps.

Mount Hermon Baptist Church
ecclesiasticaloffices@mounthermonbc.com
(215) 879-2534

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