Join FBCSH Online

Become a FBCSH Member Today

We are really excited about your interest in Membership. Please provide your contact information below.

Candidate 1 Name (required)*
First Last
Last 4 of SSN (This will be used as your personal code for yearly contributions)*
Your Email (required)*
Address*
Street Address City State Zip Code
Home Phone (required)*
Cell Phone (required)*
Birth Date*
Been Baptized?*
- Yes
- No
Occupation
Work Phone
How are you joining?*
- Newly Accepting Christ
- Christian Experience(already a Christian)
- Candidate for Baptism
- Watch Care
Status*
- Single
- Married
- Separated
- Divorced
- Widow
- You are a Child/Youth (Under 18)
Do you want your account merged with your spouse?*
- Yes
- No
If Married: Spouse Name*
First Last
Spouse DOB*
MM slash DD slash YYYY
Wedding Anniversary*
MM slash DD slash YYYY
Is your spouse a member?*
- Yes
- No
If Child/Youth Your Name*
First Last
Parent's Name*
First Last
Parent's Phone Number*
Is your parent a member?*
- Yes
- No
Your Spouse Joining?*
- Yes
- No
(Spouse) Last 4 of SSN (This will be used as your personal code for yearly contributions)*
Spouse Phone*
Spouse Email*
Spouse Occupation*
Spouse Work Phone*
How is your spouse joining?*
- Profession/New Convert
- Christian Experience/Reaffirmation
- Candidate for Baptism
- Watch Care
Do you have children?*
- Yes
- No
Child at home (Under 18)*
Full Name DOB Gender Baptism Candidate (Y/N) Membership Candidate (Y/N)

Hit the plus sign to add more children
How did you hear about us?
Are you joining today in person or online?*
- In Person
- Online
Do you have a headshot photo you would like to upload?*
- Yes
- No
Upload a Headshot (only jpeg, png)*
Accepted file types: jpg, png, Max. file size: 50 MB.
First Baptist Church South Hill has my permission to use my photograph publicly to promote the growth of the church. I understand that the images may be used in print, brochures, website, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
Your Signature Below*
Captcha
Phone
This field is for validation purposes and should be left unchanged.

Full Name	DOB	Gender	Baptism Candidate (Y/N)	Membership Candidate (Y/N)