This certifies that. Has been until this date a member of the Church of the Nazarene at.Dear Chairman Board of Elders,. I am writing to withdraw my membership from Grace Community Church. This form to be used when dependent children are participating in a church supported or sponsored event. It has been the honor of our lifetime to have served the Lord, and our church family as the Founding Senior Pastors of Valley Family Church. The policy of the ______ United Methodist Church is that our members are not allowed to be members of other churches at the same time.