Work Entry

Membership Application

Campus

First Name

Last Name

Mobile Phone

I agree to receive occasional text messages from Eagle Brook Church about next steps, updates, and important information. Msg & data rates may apply. Message frequency varies. Reply STOP to cancel. We respect your privacy. We won’t spam or share your number.

Birthdate

/ /

Address

Marital Status

Approximate date you started attending services at EBC:

Occupation

Before Eagle Brook, I was active in another church:

Denomination

Are you currently serving at Eagle Brook?

Are you in an Eagle Brook small group?

I have made a personal decision to follow Jesus.

Briefly describe your faith story (how and when you decided to follow Jesus):

I attended the Closer Look class.

I have been baptized by immersion:

Do you have any unanswered questions about membership?

Submit