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Home
Who We Are
Word from Bishop
What We Believe
Ministry Team
History
Ministries
The Park CDC
Watch US
Watch Live
On Demand
YouTube
Getting the Church
Get Connected
Give
Serve
Store
News
The Church Calendar
Contact Us
Become a Member?
Membership Information
Service Date:
*
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1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
day
month
year
Service Time:
*
8:45
10:45
Other
Name:
*
First
Last
Gender:
*
Select value
Female
Male
Marital Status:
*
Select value
Single
Married
Divorced
Widowed
DOB:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
January
February
March
April
May
June
July
August
September
October
November
December
/
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
day
month
year
Address:
*
Street Address
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombi
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepa
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Phone(H):
Area Code
-
Phone Number
Phone(C):
Area Code
-
Phone Number
E-mail Address:
Occupation:
Are you related to a current member of The Park Church?:
*
Select value
Yes
No
If Yes, Member Name:
First
Last
If Yes, Relationship:
Are you a current college student?:
*
Select value
Yes
No
If Yes, What college:
Emergency Contact Name:
First
Last
Emergency Contact Phone:
Area Code
-
Phone Number
** Other Youth
(between the age of 5 & 15)
I would like to become a member of this church, but my parents are not in church today. They must be contacted before I can become a member.
(NOTE:
Assimilation Leader
, if parent is in the Adult Membership Room,
*
PLEASE OBTAIN DECLARATION INFO FROM CHILD'S PARENT
)
Desires Membership By:
Baptism (I want to be baptized into the Christian faith by water immersion)
Christian Experience Letter (I was a member of another Christian church and I have accepted Jesus Christ as my personal Savior and/or a Letter will be sent from my previous church)
Watch Care (I am in Charlotte temporarily for work or school; and am currently a member of another church)
Restoration (I am a former member of this church and I would like to be restored back into membership. The last time I regularly attended this church)
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