New Members Information Form
This form is specifically for those who are interested in joining the church.  If you'd like to join and haven't already talked to one of the ministers about it, please feel free to fill out this form or to email us at: kirianne.fpci@gmail.com or cynthia.fpci@gmail.com.

Some questions on this form may seem very specific.  Please fill out all answers to the best of your ability, as church records have historically been used to supplement official records; therefore we do our best to keep them well.  All responses are confidential to the church staff.
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Email *
Full Legal Name:
Any additional names (maiden, birth, etc.)
Date of birth
MM
/
DD
/
YYYY
Primary phone
Address
Workplace and contact, if applicable
Email address
Marital status:
Clear selection
Spouse or partner name, if applicable, and date of marriage
Ethnicity (based on national church categories)
Clear selection
Are there any activities in which you participate that you would like us to know about?
Please let us know the names of any minor children:
Information about Joining the Church:
Have you decided to unite with First Presbyterian Church?
Clear selection
How will you join the church?
Clear selection
Is there anything else you would like us to know?  (You may use this space for any additional information)
Thank you for your time!
A person does not officially become a member of the church until they have been received by the Session and also by the congregation at a worship service including the reception of new members.  If you do not know the dates of an upcoming Session meeting or for the worship service reception, please contact Rev. Kirianne Weaver at kirianne.fpci@gmail.com.

In Christ,
The First Presbyterian Church of Ithaca, NY
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