Become a
Member

Welcome to The Potter’s House of Dallas church family, where everyone has a seat at the table. As a valuable church member, you’re plugging into a community of bold believers. That means no matter where you’re tuning in, we experience God’s presence as one vessel.

Belong. Connect. Be Molded.

Registration
*All fields are required

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Campus
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Please select campus*
Please select campus*
- TPH Dallas Campus - I will attend services at The Potter’s House Dallas Campus in-person most of the time.
- TPH eChurch - I will attend The Potter’s House services online most of the time.
General Head Of Household Information/ Personal Information
Name*
First Last
Please do not use any special characters i.e. quotes and emoji's
Maiden Name (if any)
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Date of Birth*
MM slash DD slash YYYY
Gender*
- Male
- Female
Race/Ethnicity
- White
- Black
- Asian
- Hispanic
- Other
Age Group
Marital Status
Please Select Your Marital Status
Is your spouse joining with you?
- Yes
- No
Spouse Name*
Spouse First Name Spouse Middle Name Spouse Last Name
Spouse Gender*
- Male
- Female
Spouse Race/Ethnicity
- White
- Black
- Asian
- Hispanic
- Other
Children
Number of Children (under 18)
Children's Information
First Name Middle Name Last Name Gender
Contact Information
Email*
Enter Email Confirm Email
US Phone
Select your address type*
- U.S. Address
- International Address
Address*
Street Address Suite/Apt # City State ZIP Code
International Address
Street Address Suite/Apt # City State / Province / Region ZIP / Postal Code Country
Additional Information
Occupation*
Emergency Contacts (1 required, 1 optional)
Emergency Contact*
Relationship First Last Phone
Emergency Contact
Relationship First Last Phone
Background Information
Previous Name
Are you or your spouse a new Christian?
- Yes
- No
Are you and your spouse a former member of The Potter's House?
- Yes
- No
Do you have relatives who are already members of The Potter's House?
- Yes
- No
Member Name
Relationship First Last
Member Name
Relationship First Last
Member Name
Relationship First Last
Are You Interested In Joining a TPH Ministry?
To select more than one, hold down the ctrl or command key.
How did you hear about us?
May we contact you?*
- Yes
- No
Would you like to opt-in to receive email notifications?*
- Yes
- No
Certification*
I certify that the information is complete and accurate to the best of my knowledge.
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New Member Orientation*
A New Member Orientation, which is a 30-minute session about what you can expect as a member, will be required to be completed in order to confirm your membership. Information will be forwarded to you at the email address you have provided above.
I also understand that my membership is not confirmed until I have completed the New Member Orientation.
Phone
This field is for validation purposes and should be left unchanged.

Arts & Music: PH Choir
Arts & Music: Bishop's Choir
Arts & Music: Men's Choir
Arts & Music: Josiah
Arts & Music: Chorale
Arts & Music: Dance Entities
Arts & Music: Drama
Arts & Music: The Bridge
CMHH; TPH IDD Outreach
Chosen & Committed
Christian Education/PHIPA
Counseling/Behavioral Health
Deacons
Deaf & Hard of Hearing
Destiny World
eChurch
Firehouse
Global Partner Systems (GPS)
Grief Support
Jakes Divinity School
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Ministerial Affairs
New Converts
New Member Relations
T. D. Jakes Foundation (TDJF)
TPH International Pastoral Alliance (PHIPA)
PHSOM
Pre-Marital
Single Life
Texas Offenders Reentry Initiative (TORI)
United MegaCare (UMC)
WNBS: Wednesday Night Bible School
Woman to Woman
Young Adults

First Name	Middle Name	Last Name	Gender

Become aMember

Our Commitment

Belong. Connect. Be Molded.

Campus

General Head Of Household Information/ Personal Information

Marital Status

Children

Contact Information

Additional Information

Emergency Contacts (1 required, 1 optional)

Background Information

Become a
Member