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Hours
Monday - Thursday
8:00am - 4:30pm
Phone Number
(417) 833-1861
Mailing Address
Northside Christian Church
4902 N. State Hwy H
Springfield, MO 65803
HEAD OF HOUSEHOLD INFORMATION
Full Name:
Address:
City:
State:
Zip Code:
Date of Birth:
E-Mail:
Home Phone:
Cell Phone:
Employer:
Work Phone:
Occupation:
If student, are you attending college within 30 mi. of Springfield?
Not Applicable
Missouri State
Ozarks Technical College
Drury
Evangel
Southwest Baptist University
Baptist Bible College
Central Bible College
College of the Ozarks
Other
Attending more than 30 miles away
What is your marital status?
Married
Single
Engaged
Have you been baptized by immersion?
Yes
No
Have you ever placed membership before the congregation at NCC?
Yes
No
How would you prefer the monthly newsletter?
E-Mail
Snail Mail
Would you like to receive our weekly update e-mails?
Yes, by Email
Yes, by Text
Yes, through Social Media
No
Please list any ministries that you are currently serving in:
Please list any ministries for which you would like more information:
Comments AND/OR I would like more information about the following items:
SPOUSE INFORMATION
Full Name:
Date of Birth:
E-Mail:
Home Phone:
Cell Phone:
Employer:
Work Phone:
Occupation:
If student, are you attending college within 30 mi. of Springfield?
Not Applicable
Missouri State
Ozarks Technical College
Drury
Evangel
Southwest Baptist University
Baptist Bible College
Central Bible College
College of the Ozarks
Other
Attending more than 30 miles away
Have you been baptized by immersion?
Yes
No
Have you ever placed membership before the congregation at NCC?
Yes
No
How would you prefer the monthly newsletter?
E-Mail
Snail Mail
Would you like to receive our weekly update e-mails?
Yes, by Email
Yes, by Text
Yes, through Social Media
No
Please list any ministries that you are currently serving in:
Please list any ministries for which you would like more information:
Comments AND/OR I would like more information about the following items:
CHILD INFORMATION
If you have children, please indicate how many:
0
1
2
3
4
5
6
7
8
9
10
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Northside Christian Church
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