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Home
About
our Pastor
our Co-Pastor
our Ministry
Ministries
Gallery
News
Calendar
Giving
Contact Us
Church Forms
Prayer Request
Visitor Form
Membership Directory Update
Baby Dedication
Wedding Application
Funeral Request/Notice
Prayer Request
Date
Person Needing Prayer
First Name
*
Last Name
*
Prayer Request
*
(Feel free being as detailed as needed in your prayer request)
Are they a member of NEBR Church?
Yes
No
Other
Other
Visitation Desired
No
Yes
Address and/or name of Hospital/Facility or Home
(If visitation is desired please make sure to include the location- Street address works best)
Requestor Information
First Name
*
Last Name
*
Email
*
Phone
Submit
Visitor Form
Name
Mr.
Mrs.
Miss
Name
First
Last
Last
Email
Phone Number
Address
Address Line 2
City
State
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Postal Code
Section
I am a guest of...
I am a member of another Church
(Name of Church or leave blank if not member of another church)
Location of Church
(City, State)
Mark all that apply
Visitor for first time
New in community
Would like to unite with NEBR Church
Would like to know more about the NEBR Church
Would like the Minister to call
Do you have school age children?
Yes
No
Please indicate the age of your child or children.
Submit
Membership Directory Form
Name
Mr.
Mrs.
Miss
Name
First
Last
Last
Email
Phone Number
Address
Address Line 2
City
State
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Postal Code
Date of Birth
Member of NEBRC since...
Family Members
(Let us know about your family- Click the Add Button to each additional family member)
Relationship
Grandmother
Grandfather
Mother
Father
Mother-in-law
Father-in-law
Sister
Brother
Cousin
Sister-in-law
Brother-in-law
Child
Name
First
Last Name
Last
Date of Birth
Add
Remove
Would you like to display your contact information on the online church directory?
*
Yes
No
(This is only accessible by other church members and church admin)
Submit
Baby Dedication
Parents name(s)
*
(as you want it to appear on the dedication certificate)
Child's name
*
(as you want it to appear on the dedication certificate)
Date of Birth
*
How long have you been a member of NEBR Church
Which service do you prefer?
*
8:30am
11:00am
Are you willing to:
*
Raise you child in the ways of the Lord?
Pray for you child regularly?
Seek at an early age to bring your child to a saving trust in Christ as their Savior?
(Check if 'Yes')
Have you accepted Jesus Christ as your Lord and Savior?
*
Yes
No
Do you recognize that you need God's help in raising your child?
*
Yes
No
Is it your desire to dedicate your child to God for His purpose and blessing for your child's life?
*
Yes
No
Is it your desire to dedicate yourself to God to fulfill your responsibilities as a parent?
*
Yes
No
Is it your desire to have the NEBR Church membership join with you in the spiritual teaching and training of your child?
*
Yes
No
I understand that submitting this application does not mean that it is approved. We understand that I will be notified as soon as this application is reviewed. Please be aware that an orientation will be provided the Sunday prior to the dedication service.
*
I understand
Comments/Questions
Please select a special Bible Verse for your child - You will be asked to read this at the dedication (specify Bible version)
*
Name
*
Phone Number
*
Email
*
Submit
Wedding Request Form
Bride's Information
First Name
Last Name
Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
Preferred Phone Number
Email
Mark all that apply
NEBR Church Member
First Marriage
Children
Groom's Information
First Name
Last Name
Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
Preferred Phone Number
Email
Mark all that apply
NEBR Church Member
First Marriage
Children
Wedding Information
Preferred Date of Event
Any details you would like to share about the event.
Submit
Funeral Request/Notification
Information of the Deceased
Name
Mr.
Mrs.
Miss
Name
First
Last
Last
Date of Death
Age at Death
Member of NEBRC
Yes
No
Your information
Name
First
Last
Last
Email
Phone Number
Address
Address Line 2
City
State
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Postal Code
Member of NEBRC since...
Relationship with Deceased
Spouse
Child
Sister
Brother
Cousin
Sister-in-law
Brother-in-law
Grandmother
Grandfather
Mother
Father
Mother-in-law
Father-in-law
Funeral Home Contact
Name
First
Last
Last
Email
Phone Number
Date of Funeral
*
Funeral Details
*
Submit
