New Members

HomeNew Members

Welcome to Simon Temple AME Zion Church!

Thank you for choosing to make Simon Temple your church home!

Please review the Welcome video from Pastor Keith Tillett and submit one of the forms below.

Welcome from Pastor Tillett

New Members Form

Please complete the following information so that we might get to know you better and be better able to serve you as we welcome you to your new church family. This information will be used exclusively by Simon Temple and will not be provided to any other sources.

You may either download and print the New Members Application and submit it directly to the Simon Temple office, or complete the online form below.

Download the New Members Form (PDF)

    Name *

    Gender *

    Address *

    Contact Info *

    Personal and Family Info

    Age Group: *

    Military? *

    Student?

    How did you become a member of Simon Temple?

    (Check one; only enter information that applies)

    Affiliate Member of AME Zion Church desiring a local church home.

    Transfer to Simon Temple from another denomination.

    Would you like to be water baptized? *

    Any Questions?

    By using this form you agree with the storage and handling of your data by this website.

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