Church Membership Application Form

Thanks for your interest in membership at Life Church 180 Assembly of God! Please fill out the form below in its entirety. If you have not yet completed the Membership Class Lessons either online or in person please do that first!
Fields marked with an * are required


I believe that the Holy Scriptures are the revealed will of God, and that they are the foundation of my faith and life as a follower of the Lord Jesus Christ.

I believe that in becoming a member of Life Church 180 Assembly of God, I am fulfilling the standard of the New Testament which are summarized in Ephesians 4:3-16.

I hereby pledge to serve Christ in and through His church and will faithfully support Life Church 180 Assembly of God by the grace of God.

I have completed the Membership Class lessons, either online or in person, in FULL and request my application be considered for membership.

I Understand the submission of this online form counts as my physical signature.