Membership Form

Please fill this form to indicate your interest in becoming a member of Jesus House. The Church will then contact you to give you further information. To actually become a member, you must attend the New Members Evening organised by the Church. This is an opportunity for us to get to know you and welcome you into the family.

Please specify the Names, date of birth, gender, dietary requirements and medical needs for each of your children here. Only include those between the ages 2-12yrs.

(Please specify the name of the church)

(Please specify when and where)

Please note that the max image file size allowed is 2MB

I understand and identify with Jesus House; its mission, values and culture and I choose to serve and worship God as a part of this local body. I also confirm that the information I have given is true to the best of my knowledge and give Jesus House the permission to use my details for church related correspondence. I confirm that I will make every effort to attend the next scheduled 'New Members Evening' in the Church.