Membership Application

We would love to consider having your church as a part of our Association. Please fill out this form and we will get in touch with you shortly.

*denotes a required field

"*" indicates required fields

Church Name*

First Last

Church Mailing Address*

Street Address Address Line 2 City State ZIP Code

Church Phone*

Church Website

Is the church's Physical Address the same as the Mailing address?*

Church Physical Address*

Street Address Address Line 2 City State ZIP Code

Lead Pastor's Name*

First Last

Lead Pastor's Email*

Lead Pastor's Phone*

Lead Pastor's Home Address

Street Address Address Line 2 City State ZIP Code

Date Constituted*

Number of Current Members

We desire to enter into a covenant relationship with the churches, which constitute the Blue Ridge Baptist Association. Our church has doctrines and practices that agree in general with the Baptist Faith and Message, and the goals, doctrines, and practices of the Blue Ridge Baptist Association and its member churches. As we have the opportunity, we will participate in the various activities of Blue Ridge Baptist Association.

As an indication of our desire to cooperate we covenant to do the following:

Contribute the following amount (per month) or % of our annual budget to Associational Missions.*

Please enter a number from 1 to 100.

Contribute the following amount (per month) or % of our annual budget to the Cooperative Program*

Please enter a number from 1 to 100.

Participate in the Annie Armstrong Easter Offering.

Participate in the Lottie Moon Christmas Offering.

Annually submit to the Association the Annual Church Profile.

(Churches are encouraged to give a monthly % – not a fixed amount -to Associational & Cooperative Program missions.)

Name of person completing form*

First Last

Email of person completing the form*

Applications will be considered by the Credentials Committee and presented to the annual meeting for a vote when appropriate. In some cases, churches applying for membership may be admitted under “Watch Care” status for a period of time until a vote is taken for full acceptance.

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