Home
About
Our Vision
What We Believe
Our Theme
Meet Pastor Bulgin
Get Connected
Connection Card
Prayer Requests
Events
Contact Us
Next Steps
Become A Member
Next Steps Course
Dream Team Application
Water Baptism
Baby Blessing
Resources +
Photos
Resources/Forms
CAMPUS
Main Campus
Fiji Campus
Watch Live!
Live Stream
Power Hour
Vacation Bible School 2024
Give
WELCOME TO CAPITOL CITY SDA CHURCH
Congratulations On Accepting The Invitation To BECOME A MEMBER Of Capitol City
Please Complete The MEMBERSHIP INFORMATION Form Below And Our First Touch Ministry Will Get In Touch With You To Welcome You And Answer Any Questions You May Have About Your Decision.
Personal Information
Age Group
Adult
Young Adult (19-30)
Youth (13-18)
Child (3-12)
First Name
Last Name
Gender
Male
Female
I'd rather not say
Date of Birth
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Marital Status
Single
Married
Widowed
Separated
Divorced
I'd rather not say
Spouse's Name
Email
Home Phone Number
Cell Phone Number
Would you like to be added to our text information list?
Yes
No
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Please list any special health conditions:
Emergency Contact Information
First Name
Last Name
Phone Number
Relationship
<
Back
Next
>
Submit
