XPWebChurch Application

APPLICATION FORM

Please view the XPwebchurch Videos before completing the application You can also read the information Here

MAIN APPLICANT
Are you currently a Breaker Team Partner?	Yes No
* Required Field
* Last Name
* First Name
MI
*Date of Birth MM/DD/YYYY
Status
* Email Address
* Confirm Email Address
* Main Phone
Secondary Phone
Best Time to Call
Address
City
State/Prov
Zip/Postal Code
Country
Mailing Address (If Different)
City
State/Prov
Zip/Postal Code
Country

SPOUSE
Joining the Webchurch?	Yes No
Last Name
First Name
MI
Date of Birth MM/DD/YYYY
Email Address
Confirm Email Address
Main Phone
Secondary Phone

CHILDREN
Number of Children Joining
Please Enter Children's Names, Dates of Birth and Male or Female- Only if they are joining the Webchurch.

TEENS
Number of Teens Joining
Please Enter Teens Names, Dates of Birth, Mail of 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 XPwebchurch?
* Why do you want to join XPwebchurch?
* I have read and understand the values of XPwebchurch as explained on the intro video.	Yes No
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.
* Do you agree to financially sow into the webchurch regularly and to the $35 monthly administration fee? (yes/no)
1) Tithing to the Webchurch is a separate gift than other donation you may already give to Extreme Prophetic/CSA (Partner, Missions, etc). We (XP Webpastors) are committed to serving our congregations with our whole hearts and will believe by faith for all our needs to be met. We do however, have confidence that our church members will desire to take financial responsibility for the care given. 2) The $35 Monthly Administration Fee is NOT tax deductible and will not be included in your year-end tax receipt.
* Are you currently involved in a local church? If so, please describe your involvement.

This information will be kept confidential, in a secure place, and will only be shared with the Web Pastor (and Congregation If permission is given)

Code: (Please enter the letters you see above)