Member Covenant Form

Personal Information (You)

Spouse Information

Children (Under 18 and living at home):

Home Address

Salvation and Water Baptism

Please give names of household members that are saved (including self) and give the approximate dates of salvation and water baptism.

Ministries

In which of the following ministries are you willing to serve?

Acknowledgements and Affirmations

Please read each statement carefully and confirm your full understanding and agreement:

I have read the City of Refuge New Members Orientation information in its entirety.

I have prayed and believe God is calling me to walk in covenant with this church family.

I understand that membership is not just attendance—it is relationship, commitment, and accountability.

Doctrinal Agreement

I have read, understand, and affirm my agreement with the following City of Refuge doctrinal statements:

I agree to walk in alignment with these biblical convictions as a member of the City of Refuge.

Relational Commitment

Please read each statement carefully and confirm your full understanding and agreement:

I have either left my previous church in peace and right standing, or I am actively seeking to make things right.

I am willing to walk in love, humility, and accountability with this spiritual family.

I understand that my life, character, and beliefs are now a testimony of this house.

Covenant Member Affirmation

Please read carefully the final affirmation below:

I affirm before God my desire to walk in covenant with the City of Refuge. I commit to grow in spiritual maturity, serve faithfully, walk in unity, and honor the leadership of this house. I receive the spiritual covering and protection of this local church and will strive to walk in holiness, integrity, and love. This covenant is made in faith, with humility and joy, as I step into the next season of my spiritual journey.