{"id":207,"date":"2026-06-24T14:21:54","date_gmt":"2026-06-24T14:21:54","guid":{"rendered":"https:\/\/liberationchurchofchrist.org\/portal\/?page_id=207"},"modified":"2026-06-24T14:21:54","modified_gmt":"2026-06-24T14:21:54","slug":"membership-registration","status":"publish","type":"page","link":"https:\/\/liberationchurchofchrist.org\/portal\/membership-registration\/","title":{"rendered":"Membership Registration"},"content":{"rendered":"<div class=\"ocm-public ocm-card ocm-membership-registration-form\">\n\t<h2>Membership Registration Form<\/h2>\n\t\t<form method=\"post\" enctype=\"multipart\/form-data\" action=\"https:\/\/liberationchurchofchrist.org\/portal\/wp-admin\/admin-post.php\" class=\"ocm-form\" id=\"ochidoz-membership-registration-form\">\n\t\t<input type=\"hidden\" name=\"action\" value=\"ocm_public_member_register\">\n\t\t<input type=\"hidden\" name=\"ochidoz_membership_registration\" value=\"1\">\n\t\t<input type=\"hidden\" name=\"ocm_preview_confirmed\" value=\"0\">\n\t\t<input type=\"text\" name=\"ocm_membership_website\" value=\"\" tabindex=\"-1\" autocomplete=\"off\" class=\"ocm-honeypot\" aria-hidden=\"true\">\n\t\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"cc88393164\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/portal\/wp-json\/wp\/v2\/pages\/207\" \/>\n\t\t<h2>Personal Details<\/h2>\n\t\t<div class=\"ocm-form-grid\">\n\t\t\t<input name=\"member_id\" class=\"ocm-input\" placeholder=\"Member ID, optional\">\n\t\t\t<label class=\"ocm-field\">First Name <span class=\"ocm-required\" aria-hidden=\"true\">*<\/span><input name=\"first_name\" class=\"ocm-input\" placeholder=\"First name\" required><\/label>\n\t\t\t<input name=\"middle_name\" class=\"ocm-input\" placeholder=\"Middle name\">\n\t\t\t<label class=\"ocm-field\">Last Name <span class=\"ocm-required\" aria-hidden=\"true\">*<\/span><input name=\"last_name\" class=\"ocm-input\" placeholder=\"Last name\" required><\/label>\n\t\t\t<label class=\"ocm-field ocm-passport-upload\">Passport Photo <span class=\"ocm-required\" aria-hidden=\"true\">*<\/span> <small>Max 150kb<\/small><span class=\"ocm-passport-placeholder\" id=\"ochidoz-membership-passport-preview\"><span>Passport Preview<\/span><\/span><input type=\"file\" name=\"passport\" accept=\"image\/jpeg,image\/png,image\/webp\" class=\"ocm-input\" data-max-size=\"153600\" data-preview-target=\"ochidoz-membership-passport-preview\" required><\/label>\n\t\t\t<label class=\"ocm-field\">Gender <span class=\"ocm-required\" aria-hidden=\"true\">*<\/span><select name=\"gender\" class=\"ocm-input\" required><option value=\"\">Gender<\/option><option>Male<\/option><option>Female<\/option><\/select><\/label>\n\t\t\t<label class=\"ocm-field\">Date of Birth <span class=\"ocm-required\" aria-hidden=\"true\">*<\/span><input type=\"date\" name=\"date_of_birth\" required class=\"ocm-input\" placeholder=\"Date of Birth\"><\/label>\n\t\t\t<label class=\"ocm-field\">Marital Status <span class=\"ocm-required\" aria-hidden=\"true\">*<\/span><select name=\"marital_status\" class=\"ocm-input\" required><option value=\"\">Marital status<\/option><option>Single<\/option><option>Married<\/option><option>Widowed<\/option><option>Divorced<\/option><\/select><\/label>\n\t\t\t<label class=\"ocm-field\">Phone <span class=\"ocm-required\" aria-hidden=\"true\">*<\/span><input name=\"phone\" class=\"ocm-input\" placeholder=\"Phone\" required><\/label>\n\t\t\t<input name=\"whatsapp\" class=\"ocm-input\" placeholder=\"WhatsApp\">\n\t\t\t<input type=\"email\" name=\"email\" class=\"ocm-input\" placeholder=\"Email\">\n\t\t\t<label class=\"ocm-field\">State of Origin <span class=\"ocm-required\" aria-hidden=\"true\">*<\/span><input name=\"state_origin\" class=\"ocm-input\" placeholder=\"State of origin\" required><\/label>\n\t\t\t<label class=\"ocm-field\">Local Government of Origin <span class=\"ocm-required\" aria-hidden=\"true\">*<\/span><input name=\"lga\" class=\"ocm-input\" placeholder=\"Local Government Area of Origin\" required><\/label>\n\t\t\t<input name=\"nationality\" class=\"ocm-input\" value=\"Nigeria\" placeholder=\"Nationality\">\n\t\t\t<label class=\"ocm-field\">Occupation <span class=\"ocm-required\" aria-hidden=\"true\">*<\/span><input name=\"occupation\" class=\"ocm-input\" placeholder=\"Occupation\" required><\/label>\n\t\t\t<input name=\"workplace\" class=\"ocm-input\" placeholder=\"Place of work or school\">\n\t\t\t<label class=\"ocm-field\">City Residential Address <span class=\"ocm-required\" aria-hidden=\"true\">*<\/span><textarea name=\"city_residential_address\" class=\"ocm-input\" placeholder=\"City Residential Address\" required><\/textarea><\/label>\n\t\t<\/div>\n\t\t<textarea name=\"address\" class=\"ocm-input\" placeholder=\"Town of Origin Address\"><\/textarea>\n\n\t\t<h2>Church Details<\/h2>\n\t\t<div class=\"ocm-form-grid\">\n\t\t\t\t<select name=\"zone_id\" class=\"ocm-input ocm-structure-zone\" data-selected=\"0\">\n\t\t<option value=\"0\">Select Zone<\/option>\n\t\t\t\t\t<option value=\"6\" >Ada-George Transit Axis<\/option>\n\t\t\t\t\t<option value=\"3\" >CE Port Harcourt Zone 2 (Wimpey Group HQ)<\/option>\n\t\t\t\t\t<option value=\"7\" >Grace Province 4 Zone 5<\/option>\n\t\t\t\t\t<option value=\"4\" >Grace Province 4, Zone 5<\/option>\n\t\t\t\t\t<option value=\"2\" >Port Harcourt Maritime Area, Zone 3<\/option>\n\t\t\t\t\t<option value=\"5\" >Port Harcourt Region, Region 4 Grand Zone<\/option>\n\t\t\t\t\t<option value=\"1\" >Wimpey\/Rumuepirikom Mega Zone<\/option>\n\t\t\t<\/select>\n\t<select name=\"district_id\" class=\"ocm-input ocm-structure-district\" data-selected=\"0\" >\n\t\t<option value=\"0\">Select Area\/District<\/option>\n\t\t\t\t\t<option value=\"5\" >Ada-George \/ Mile 4 Intersecting District<\/option>\n\t\t\t\t\t<option value=\"2\" >Ada-George Transit Axis<\/option>\n\t\t\t\t\t<option value=\"3\" >Elioparanwo \/ Wimpey Adjoining District<\/option>\n\t\t\t\t\t<option value=\"1\" >Mile 4 \/ Ada-George Commercial District<\/option>\n\t\t\t\t\t<option value=\"6\" >Port Harcourt Maritime Area, Zone 3<\/option>\n\t\t\t\t\t<option value=\"4\" >Wimpey Internal Residential District<\/option>\n\t\t\t<\/select>\n\t<select name=\"branch_id\" class=\"ocm-input ocm-structure-branch\" data-selected=\"0\" >\n\t\t<option value=\"0\">Select Branch\/Parish\/Satellite Campus<\/option>\n\t\t\t\t\t<option value=\"4\" >LLC Church: Covenant Assembly Zone - Wimpey Group<\/option>\n\t\t\t\t\t<option value=\"2\" >LLC Church: Faith Assembly \u2013 Wimpey Axis<\/option>\n\t\t\t\t\t<option value=\"5\" >LLC Church: Higher Ground Zone - Ada-George Grand Zone<\/option>\n\t\t\t\t\t<option value=\"1\" >LLC Church: Overcomers Zone<\/option>\n\t\t\t\t\t<option value=\"3\" >LLC Church: The Grace Fountain \u2013 Ada-George District<\/option>\n\t\t\t<\/select>\n\t<select name=\"house_fellowship_id\" class=\"ocm-input ocm-structure-house\" data-selected=\"0\" >\n\t\t<option value=\"0\">Select House Fellowship Centre<\/option>\n\t\t\t\t\t<option value=\"1\" >Yaya class<\/option>\n\t\t\t<\/select>\n\t\t\t\t<input name=\"department_id\" class=\"ocm-input\" placeholder=\"Department\">\n\t\t\t<select name=\"membership_status\" class=\"ocm-input\"><option value=\"active\" >Active<\/option><option value=\"inactive\" >Inactive<\/option><option value=\"new_member\"  selected='selected'>New Member<\/option><option value=\"visitor\" >Visitor<\/option><option value=\"new_convert\" >New Convert<\/option><option value=\"transferred\" >Transferred<\/option><option value=\"deceased\" >Deceased<\/option><\/select>\n\t\t\t<label class=\"ocm-field\">Date of Registration<input type=\"date\" name=\"date_joined\" class=\"ocm-input\" placeholder=\"Date of Registration\"><\/label>\n\t\t\t<input name=\"baptism_status\" class=\"ocm-input\" placeholder=\"Water baptism status\">\n\t\t\t<input name=\"holy_spirit_baptism_status\" class=\"ocm-input\" placeholder=\"Holy Spirit baptism status\">\n\t\t\t<input name=\"worker_status\" class=\"ocm-input\" placeholder=\"Worker status\">\n\t\t<\/div>\n\n\t\t<h2>Emergency and Skills<\/h2>\n\t\t<div class=\"ocm-form-grid\">\n\t\t\t<label class=\"ocm-field\">Next of Kin <span class=\"ocm-required\" aria-hidden=\"true\">*<\/span><input name=\"next_of_kin_name\" class=\"ocm-input\" placeholder=\"Next of kin\" required><\/label>\n\t\t\t<label class=\"ocm-field\">Next of Kin Phone <span class=\"ocm-required\" aria-hidden=\"true\">*<\/span><input name=\"next_of_kin_phone\" class=\"ocm-input\" placeholder=\"Next of kin phone\" required><\/label>\n\t\t\t<select name=\"next_of_kin_relationship\" class=\"ocm-input\"><option value=\"\">Relationship with Next of Kin<\/option><option value=\"Wife\">Wife<\/option><option value=\"Husband\">Husband<\/option><option value=\"Mother\">Mother<\/option><option value=\"Father\">Father<\/option><option value=\"Son\">Son<\/option><option value=\"Daughter\">Daughter<\/option><option value=\"Brother\">Brother<\/option><option value=\"Sister\">Sister<\/option><option value=\"Uncle\">Uncle<\/option><option value=\"Aunt\">Aunt<\/option><option value=\"Cousin\">Cousin<\/option><option value=\"Guardian\">Guardian<\/option><option value=\"Friend\">Friend<\/option><option value=\"Pastor\">Pastor<\/option><option value=\"Other\">Other<\/option><\/select>\n\t\t\t<input name=\"emergency_contact\" class=\"ocm-input\" placeholder=\"Emergency contact\">\n\t\t<\/div>\n\t\t<textarea name=\"skills\" class=\"ocm-input\" placeholder=\"Skills, talents, training\"><\/textarea>\n\t\t<textarea name=\"notes\" class=\"ocm-input\" placeholder=\"Admin notes\"><\/textarea>\n\n\t\t<h2>Advanced CRM<\/h2>\n\t\t<div class=\"ocm-form-grid\">\n\t\t\t<input name=\"crm_tags\" class=\"ocm-input\" placeholder=\"Member tags e.g. Visitor, Partner, Follow-up Needed\">\n\t\t\t<input name=\"household_name\" class=\"ocm-input\" placeholder=\"Household \/ family name\">\n\t\t\t<select name=\"household_role\" class=\"ocm-input\"><option value=\"member\">Member<\/option><option value=\"husband\">Husband<\/option><option value=\"wife\">Wife<\/option><option value=\"child\">Child<\/option><option value=\"guardian\">Guardian<\/option><option value=\"parent\">Parent<\/option><\/select>\n\t\t\t<label class=\"ocm-field\"><input type=\"checkbox\" name=\"household_primary\" value=\"1\"> Primary family contact<\/label>\n\t\t<\/div>\n\n\t\t<label class=\"ocm-consent\"><input type=\"checkbox\" required> I agree that the church can keep my details for membership records.<\/label>\n\t\t<p><button class=\"ocm-btn\" type=\"submit\">Submit<\/button><\/p>\n\t<\/form>\n\t<div class=\"ocm-membership-preview-modal\" id=\"ochidoz-membership-preview-modal\" aria-hidden=\"true\" role=\"dialog\" aria-modal=\"true\" aria-labelledby=\"ochidoz-membership-preview-title\">\n\t\t<div class=\"ocm-membership-preview-card\">\n\t\t\t<h2 id=\"ochidoz-membership-preview-title\">Preview Membership Registration<\/h2>\n\t\t\t<p class=\"ocm-preview-note\">Please review your information before final submission.<\/p>\n\t\t\t<div class=\"ocm-membership-preview-photo\" id=\"ochidoz-membership-preview-photo\"><\/div>\n\t\t\t<div class=\"ocm-membership-preview-grid\" id=\"ochidoz-membership-preview-grid\"><\/div>\n\t\t\t<p class=\"ocm-preview-actions\"><button type=\"button\" class=\"ocm-btn-light\" id=\"ochidoz-membership-preview-edit\">Edit<\/button> <button type=\"button\" class=\"ocm-btn\" id=\"ochidoz-membership-preview-final\">Final Submit<\/button><\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"pagelayer_contact_templates":[],"_pagelayer_content":"","footnotes":""},"class_list":["post-207","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/liberationchurchofchrist.org\/portal\/wp-json\/wp\/v2\/pages\/207","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/liberationchurchofchrist.org\/portal\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/liberationchurchofchrist.org\/portal\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/liberationchurchofchrist.org\/portal\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/liberationchurchofchrist.org\/portal\/wp-json\/wp\/v2\/comments?post=207"}],"version-history":[{"count":1,"href":"https:\/\/liberationchurchofchrist.org\/portal\/wp-json\/wp\/v2\/pages\/207\/revisions"}],"predecessor-version":[{"id":208,"href":"https:\/\/liberationchurchofchrist.org\/portal\/wp-json\/wp\/v2\/pages\/207\/revisions\/208"}],"wp:attachment":[{"href":"https:\/\/liberationchurchofchrist.org\/portal\/wp-json\/wp\/v2\/media?parent=207"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}