New Church Registration Form

Information Prepared By:

District:

New Church Launch Date:

New Church Name:

Pastor's First Name:

Pastor's Last Name:

Spouse's Name:

Pastor's Mailing Address:

City:

State:

Zip:

Pastor's E-mail:

Pastor's Home Phone:

Pastor's Cell Phone:

New Church Mailing Address:

City:

State:

Zip:

New Church Email:

New Church Phone Number:

Meeting Location (if different than mailing address):

City:

State:

Zip:

Targeted Cultural Group:

Language Preference(s):

Sponsor (or Parent) Church Name:

Address:

City:

State:

Zip:

Sponsor (or Parent) Pastor's Name:

Is this church a Parent Affiliated Congregation?:

A Parent Affiliated Congregation is connected to an organized Nazarene church and is recognized as an affiliated ministry of that Church. Examples would be a congregation that meets in a coffee shop, in a home, at a bar, at a workplace, etc. that is linked to a parent church.

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