Network Registration

Network registration members are registered in Messy Church USA Network, and listed in the national directory. They also receive support from their Messy Church USA Regional Coordinator. See full network member benefits at this level here.

While you will not have “billing info” to fill out on the next page, you are required to give a name, email address and zip in order for your site user account to be created. This can be different than the primary contact info below.

"*" indicates required fields

Contact Information

Primary Contact Name*

First Last

Primary Contact Email*

This is the email where we can contact you directly. You will enter a church email below.

Primary Contact Phone

Secondary Contact Name

First Last

Secondary Contact Email

Secondary Contact Phone

Church Information

Church Name*

Church Email*

Church Phone*

Church Street Address*

Street Address Address Line 2 City State ZIP Code

Is there are different Church mailing address?*

yes

Church Mailing Address If Different from Street Address*

Street Address Address Line 2 City State ZIP Code

Date and Time of your Messy Church*

Denominational Affiliation

Get Started in Messy Church

Have you or someone from your church attended a "Get Started in Messy Church" session?

Yes

Messy Church Values

Messy Church USA adheres to the five values of Messy Church International: 1) Christ-Centered, 2) All ages together, 3) Creativity, 4) Hospitality and 5) Celebration. Read more details of the values here.

I have read, understood, and will support the values of Messy Church in our locality.

Messy Church USA Privacy Policy

I have read, understood, and accept the Messy Church USA privacy policy.

Health and Safety

We will adhere to the health and safety laws and guidelines applicable within our legal jurisdiction (denomination, city, region, state)

Signature

Network Membership

Total

This field is for validation purposes and should be left unchanged.

Subtotal
Options
Total

Category: Memberships