Gender *
Select… Male Female
Phone number *
Phone type Mobile Home Work Other
Student Information
If applicable, please let us know your grade/year in school and what school you currently attend.
Medical Note
So that we can (1) pray for you and (2) best accommodate your needs at WRPC, you may let us know of any medical notes that you have.
Are you currently married? *
Select… Yes No
Do you have any children? *
Select… Yes No
Directory Photos
If you are able, please upload photos here of you and your family that we can include in the church directory.
Choose 1 file. Maximum file size 10 MB.
Are you currently a member of a church? *
Select… Yes No
Have you been baptized? *
Select… Yes No I don't know
Are you prepared to answer these questions in the affirmative? *
Select… Yes No
Please upload your testimony here or write in in the space below.
Choose 1 file. Maximum file size 10 MB.
Why do you want to become a communicant member of Western Reserve Presbyterian Church? *
Serving the Church
In what ways do you believe you are gifted to be able to practically "support the church in its worship and work to the best of your ability"? Reflect on past church service and ways you think you can serve in our context.
Church discipline
If you are currently under formal church discipline or have ever been under formal church discipline that required a censure, please briefly explain your situation here.
Please provide multiple upcoming Sunday evening dates of availability.
We will reach out to schedule and confirm.
If you have any other information or questions for us, please let us know here.
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