Shiloh Webchurch Application

Values

MAIN APPLICANT
Select One*
Name*
First Last
Middle Initial
Date of Birth*
Date Format: MM slash DD slash YYYY
Marital Status*
Email*
Enter Email Confirm Email
Main Phone*
Secondary Phone
Best Time to Call
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Mailing Address (if different)
Street Address City State / Province / Region ZIP / Postal Code Country
Spouse
Will Your Spouse be Joining the Webchurch? (no extra charge)
- Yes
- No
Name
First Last
Date of Birth
Date Format: MM slash DD slash YYYY
Email Address
Enter Email Confirm Email
Main Phone
Secondary Phone
Children
How many children aged 12 and under will be joining you in webchurch? (Enter 0 if none)
Please Enter Children's Names, Dates of Birth and Male or Female- Only if they are joining the Webchurch.
Teen
Number of Teens joining you in webchurch? (Enter 0 if none)
Please Enter Teens Names, Dates of Birth, Male or Female - ONLY if they are joining the Webchurch. Include email address for the Teen Pastors to contact them.
Comments
Do you want your contact information (name, email & phone only) available to:*
- Web Pastor Only
- Web Pastor and Congregation
Comments
How did you hear about Shiloh Webchurch?*
Why do you want to join Shiloh Webchurch?*
Comments
How did you meet the Lord, and when?*
Describe your walk with the Lord. Examples: Vibrant, growing, weak, struggling, or dormant. If you’d like, please explain.*
Are you currently involved in a local church? If so, please describe your involvement.*
All information will be kept confidential, in a secure place, and will only be shared with the Shiloh Webchurch Pastor. (and Congregation If permission is given)

When you complete this personal information page, click the SUBMIT button and then complete the second step where you will submit your $35 Shiloh Webchurch membership fee. Note, these are monthly automatic recurring payments. Your completed application may take up to 2 business days to process
Note: The $35 Monthly Administration Fee is NOT tax deductible and will not be included in your year-end tax receipt. Any tithes and offerings above the Monthly Administration Fee will be tax deductible.

Save and Continue Later

MAIN APPLICANT

Spouse

Children

Teen

Comments