RFC New Membership Form
First Name:
*
Last Name:
*
Street Address:
*
City:
*
State:
*
Zip Code:
*
Home Phone:
Work Phone:
Cell Phone:
Date of Birth mm/dd/yyyy:
*
Emergency Contact:
*
Emergency Contact Phone:
*
Select Membership Type: Price includes 1 Access Card for Individual and 2 Access Cards for Family Membership at $10 per card.
*
Ridgecrest Member - One Year (Add $50.00)
Ridgecrest Member Family - One Year (Add $100.00)
Non-Ridgecrest Member- One Year (Add $100.00)
Non-Ridgecrest Family - One Year (Add $200.00)
Additional Card Need. $10 Per card if you need more than what is already included in membership selection above for each member of family 16 yrs of age and above.
0 Cards
1 Cards (Add $10.00)
2 Cards (Add $20.00)
3 Cards (Add $30.00)
4 Cards (Add $40.00)
5 Cards (Add $50.00)
For non-members of Ridgecrest Baptist Church, a member in good standing must sponsor your membership. Please type the name of that member. Type NA for current members.
*
Please Type the Following Info for ALL Members in your Family to Have Access to the RFC: NAME, and AGE:
*
Liability Waiver Form is Required to be signed at the time you come to have your ID card made.
Your Email Address
*
Please type
in the box to the right »
*
Total
$
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