NEW COVENANT MEMBERSHIP FORM

NEW COVENANT MEMBERSHIP FORM

THE HOUSE OF JUDAH
WELCOME TO THE HOUSE OF JUDAH FAMILY!

Please be sure to read the below questions carefully before submitting your application.

PLEASE NOTE: New Covenant Membership Orientation is required to be completed in order to confirm your THOJ Membership. Our next Virtual New Membership Orientation will be held on Monday, July 28, 2025 from 8pm - 9pm.
Today's Date:*

MonthDayYear
Date
Title
Select one from above
Name*

First NameLast Name
Please enter your address below:*

Street Address

Apt. # (if applicatble)

CityState / Province

Postal / Zip CodeCountry
Mobile #:*
Please enter a valid phone number.
Email Address:*

Confirmation Emailmyname@example.com
Please enter your date of birth*

MonthDayYear
Birthdate
Martial Status*

SingleMarriedDivorcedWidowed
What type of THOJ membership are you interested in?*

New Covenant (Traditional in-person)E-Church (solely views and connects via online platforms)
Are any children joining the church with you? (only list if under age 18)*

YesNo
Please list their First Name, Last Name, and Date of Birth:*
If "yes" please list their First and Last Name:

Child #1 First NameChild #1 Last Name
Child #1 Date of Birth:

MonthDayYear
Child #1 Birthdate
Child #2 Name (if applicable):

Child #2 First NameChild #2 Last Name
Child #2 Date of Birth:

MonthDayYear
Child #2 Birthdate
Child #3 Name (if applicable):

Child #3 First NameChild #3 Last Name
Child #3 Date of Birth:

MonthDayYear
Child #3 Birthdate
Child #4 Name (if applicable):

Child #4 First NameChild #4 Last Name
Child #4 Date of Birth:

MonthDayYear
Child #4 Birthdate
What is your occupation?*
Have you received Jesus Christ as your Lord and Savior?*

YesNo
What was the name of your previous church? (if applicable)
What were the previous area(s) of ministry you served? (if applicable)
What are your natural gifts (abilities)?(The things you do well and bring you joy) *Enter NA if unsure*
Please feel free to type any additional comments you would like to share...
Please upload a SINGLE photo of yourself. Your photo will be uploaded into our database so we can connect your name with your face. Your photo will not be shared outside of THOJ Leadership. **Please be sure you are the only person in the photo. *

A clear headshot will be suffice for our records, be sure you upload a jpg or png file. Thank you!
Cancelof
Please upload a SINGLE photo of child #1. The photo will be uploaded into our database so we can connect your name with your face. Your photo will not be shared outside of THOJ Leadership. **Please be sure there is only 1 person in the photo.

A clear headshot will be suffice for our records, be sure you upload a jpg or png file. Thank you!
Cancelof
Please upload a SINGLE photo of child #2. The photo will be uploaded into our database so we can connect your name with your face. Your photo will not be shared outside of THOJ Leadership. **Please be sure there is only 1 person in the photo.

A clear headshot will be suffice for our records, be sure you upload a jpg or png file. Thank you!
Cancelof
Please upload a SINGLE photo of child #3. The photo will be uploaded into our database so we can connect your name with your face. Your photo will not be shared outside of THOJ Leadership. **Please be sure there is only 1 person in the photo.

A clear headshot will be suffice for our records, be sure you upload a jpg or png file. Thank you!
Cancelof
Please upload a SINGLE photo of child #4. The photo will be uploaded into our database so we can connect your name with your face. Your photo will not be shared outside of THOJ Leadership. **Please be sure there is only 1 person in the photo.

A clear headshot will be suffice for our records, be sure you upload a jpg or png file. Thank you!
Cancelof
Please enter your signature below*

Clear
Thank you for taking the time to complete The House of Judah's New Covenant Member Form. We look foward to connecting with you at our Virtual Membership Orientation on Monday, July 29th, 8:00pm - 9:00pm.

If you have questions, please contact The House of Judah's Administration Office at 631.589.0070 opt. 101 or email us at Admin@TheHouseofJudah.org.

Thank you and we look forward to you being a part of our THOJ Family!
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