*Please fill out the form as completely as possible. 

*Church membership is a personal commitment. Family members must join the church individually by submitting individual forms.

*An elder or pastor will contact you as soon as possible after receiving your completed application. 

*Please email theremedychurchmi@gmail.com with any questions or call Pastor Jared at 260.316.5998

Name *
Name
Phone
Phone
Address
Address
Tell us a little about how you became a Christian
Tell us a little about how you connected with The Remedy
Have you read The Remedy Constitution?
Have you read The Membership Covenant?
Do you commit to The Membership Covenant?
(please type your name below)