Membership Application

Interested in becoming a member of the church? Then fill out the form below and we will make sure to get you started on the journey to membership!

Todays Date

First Name

Preferred Name

Last Name

Gender

Email Address

Mobile Number

Mailing Address

Mailing Address Line 2

Mailing City

Mailing State

Mailing Zip Code

Mailing Country

Date of Birth

Spouse Last Name

Spouse First Name

How long have you attended Vista Assembly?

Name of Previous Church (If Any) *Please Include Church City and State

Pastor's Name? Time Attended?

Previous Ministry Involvement (If Any)

Become a Member?

Meet with The Pastor?

Be Baptized in Water?

Join a Revive Group?

Attend a Membership Class (Family Table)

Serve in the Church and my interest are...?

I have received Christ into my life.

I am in agreement with the core beliefs, vision, and mission of Vista Assembly.

Sign Here: Simply Place You Initials or Full Name