Awesome, we are so glad that you are pursuing to become a member at Central Assembly!
Fill out the form below and we will get back to you!
If you’d rather fill out a paper form, please email or let Kaitlyn, in the office, know!

Todays Date *
Todays Date
Name *
Birthdate *
Current Address *
Current Address
Cell *
Do you have personal habits which might cause someone to question your Christian testimony, such as smoking, drinking, gambling, violence, or use of pornography? *
Have you accepted Christ as Lord? *
Have you received the Baptism in the Holy Spirit as recorded in Acts 2:4; 10:44-46 and 19:6? *
Have you been water baptized? *
Have you received a copy of the Bylaws of Central Assembly of God? *
If not, visit the office or email, and we will get you one!
Do you understand the sixteen Statements of Fundamental Truths of the Assemblies of God as described in Article V of the Bylaws? *
Do you agree not to teach beliefs contrary to our tenants of faith? *
Have you read the qualifications for membership as listed in Article VII of the Bylaws? *
Do you meet all of the qualifications for membership listed in Article VII of the Bylaws? *
Do you agree to support the church regularly in both attendance and finances? *
What is your attendance pattern? *
Have you been a member of another church? *