Member Registration | The New Gloryland C&S Movement Church

1

Personal Identity

Your name and core identifying information

First Name *

Middle Name (optional)

Last Name / Surname *

Preferred Name (optional)

What do members and leaders call you?

Date of Birth *

Gender *

Country of Origin / Nationality *

Ethnic Background (optional)

Helps us serve multilingual and diaspora needs

Step 1 of 7

2

Contact Information

How we can reach you and your family

Mobile / Cell Number *

WhatsApp Number (if different)

Leave blank if same as mobile number above

Email Address *

Secondary Email (optional)

Home Address

Street Address *

City *

State *

ZIP Code *

Emergency Contact

Emergency Contact Name *

Relationship to You *

Emergency Contact Phone *

Step 2 of 7

3

Household & Family

Linking your family under one household record

Marital Status *

Spouse's Full Name (if married)

If your spouse is a member, their name links your household records

Is your spouse a TNGC member? (if applicable)

Yes, active member No / Not applicable Occasionally attends

Children in Household

Number of Children (optional)

Age Range of Children (select all that apply)

Under 5 5 to 12 13 to 17 18+ (adult)

Children's Names & Ages (optional)

Helps us connect children to Sunday School, Youth & Adolescent programs

Do any children have special needs or requirements?

No Yes (note below)

Additional Household Notes (optional)

Step 3 of 7

4

Church Membership

Your journey with TNGC and C&S

Membership Status *

Year You Joined TNGC (approximate)

Have you been baptized? *

Yes No Interested in baptism

Baptism Year (if applicable)

Did you previously attend another C&S branch?

Yes No

Which C&S Branch? (if yes)

How did you first hear about TNGC? *

Friend or family member Social media Google / web search WhatsApp group C&S network / referral Community event I was born into this church Other

Which services do you regularly attend? (select all that apply)

Sunday Worship (11AM) Shiloh Service (Wed 9AM) Virtual Bible Study (Wed 7:30PM) Special services / programs

Step 4 of 7

5

Ministry & Service

Your involvement and areas of gifting

Interested in a leadership or volunteer role?

Yes, please contact me Maybe, open to it Not at this time

Anything else you'd like to offer or notes about your ministry (optional)

Step 5 of 7

6

Professional & Background

Helps us build a stronger, connected congregation

Occupation / Job Title (optional)

Industry / Sector (optional)

Years of Professional Experience (optional)

Highest Level of Education (optional)

Professional Licenses & Certifications (optional)

Helps us identify professional expertise within our congregation for referrals and mentorship

Current School / University (optional)

Required if you're under 25. We use this to support our youth + young-adult ministries (Faith Formation, YADC, Student Tutor).

LinkedIn Profile URL (optional)

Used only for church professional directory (with your consent below)

Would you be open to mentoring youth? (optional)

Yes Maybe No

Part of our Youth & Adolescent Development program

May we list you in the TNGC Member Professional Directory? (optional)

Yes — name, profession & contact Yes — name & profession only No, keep private

A members-only directory connecting the congregation to professional skills and services within the church family

Giving & Stewardship

Preferred Giving Method (optional)

Communication Preferences (how you prefer church updates)

Step 6 of 7

7

Consent & Declaration

How we use your information and your permissions

Media & Communications Consent

May we feature you in church social media or publications? *

Yes, photos and video Photos only Name only (no image) No, do not feature me

Are you interested in online / virtual services? *

Yes, very interested Occasionally I prefer in-person only

Prayer Requests or Pastoral Notes (confidential, optional)

This section is seen only by Elder-in-Council and designated pastoral care team

I confirm that the information I have provided is accurate and I consent to TNGC church administration holding and using this data for pastoral, ministry, and congregational purposes as described above. *

Step 7 of 7

✦

Registration Received

Thank you for registering with The New Gloryland C&S Movement Church.

Ayo Ni O ◆ A member of our pastoral team will be in touch.

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The New Gloryland
Cherubim & Seraphim Movement Church

Personal Identity

Contact Information

Household & Family

Church Membership

Ministry & Service

Professional & Background

Consent & Declaration

Registration Received

Verify your email and phone

The New GlorylandCherubim & Seraphim Movement Church

Personal Identity

Contact Information

Household & Family

Church Membership

Ministry & Service

Professional & Background

Consent & Declaration

Registration Received

The New Gloryland
Cherubim & Seraphim Movement Church