PCG

Presbyterian Worship Centre, Knust

Membership Registration Form

View Printable Registration Form

Prefer to fill the form offline? Print or save the PDF version

Personal Information

Title

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Marital Status *

Occupation

Profession

Home Town

AKA (Also Known As)

Old Membership ID

Place of Birth

Nationality

Highest Qualification

Day Born

Contact Information

Phone Number *

Email Address

WhatsApp Phone (if different)

Employer

Address

City

Region/State

Country

Postal Code

Digital Address

Postal Address

Area / Suburb

Ghana Card Number

Father's Name

Mother's Name

Next of Kin's Name

Next of Kin's Contact

Social Media

Facebook

Twitter (X)

Instagram

YouTube Channel

Academic / Profession

Educational Institution

Academic Qualification

Employment Status

Employed Unemployed Retired Student

Family Information

Spouse Name

Spouse Contact Number

Do You Have Any Child / Children?

Yes No

Number of Children

List up to ten children. Linking a child to their own membership record is handled by the church office after review.

Child One

Child Two

Child Three

Child Four

Child Five

Child Six

Child Seven

Child Eight

Child Nine

Child Ten

Church Section

Service Group

Bible Sudies and Prayer Group Boys and Girls Brigade Choreography Church Choir Prayer Tower Singers Team Singing Band Ushers

Others

Bible Studies Group

Communicant / Non-Communicant

Communicant Non-Communicant

Any Special Role

Membership Information

Membership Type

Membership Date

Previous Church Affiliation

Emergency Contact

Contact Name

Contact Phone

Relationship

Spiritual Information

Are you baptized? YES/NO. IF YES,

Are you confirmed? YES/NO. IF YES,

If you are married, then

Health & Education Information

Medical Conditions / Allergies

PHYSICALLY CHALLENGED? YES/NO. IF YES,

ARE YOU CURRENTLY SCHOOLING? YES/NO. IF YES,

Guardian Information (For Minors)

Guardian Name

Guardian Relationship

Guardian Phone

Guardian Address

Photo (Optional)

Maximum file size: 2MB. Accepted formats: JPG, PNG

Your registration will be reviewed and approved by church administrators

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