Thank you for your interest in becoming a member of Church on the Rock. There's two ways you can fill out the membership form.

  • If you would like to print the form and turn it in to the church office or Connection Center, click here to download the .pdf file.
  • You can also simply fill out the digital form below and it will be emailed to the church office upon completion.
Name *
Address *
Home Phone
Home Phone
Cell Phone
Cell Phone
Is it okay to text you?
Do you agree to attend services on a regular basis? *
Have you personally received Christ's gift of salvation (born-again)? *
Have you been baptized in water since being born-again? *
Do you agree to be governed by the Constitution & Bylaws of COTR and the Illinois District Council of the Assemblies of God? *
Do you agree to protect the unity of COTR (by acting in love to all members, by refusing to gossip, by following COTR Leadership)? *
Do you agree to share in the responsibility of COTR (by praying for its growth, by inviting the unchurched to attend, by warmly welcoming those who are alone and/or visiting)? *
Do you agree to serve in ministry at COTR on a regular basis (by discovering your gifts and talents, by being equipped to serve, and by developing a Servant’s Heart)? *
Are you willing to contribute regularly to the financial support of COTR? *
Do you now feel led to become a part of the COTR family? *
Signature *
By typing your name below, you are signing this document to be true and accurate.
Date *
Council Decision (for office use only)
Date (for office use only)
Date (for office use only)