MCUMC Membership Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome to Mission Community UMC! If you wish to become a member of our church community, please fill out the following application form so that we can add you to our membership list and provide you with an offering envelope.

Email *

Name (First & last) *

Date of birth *

YYYY

Mobile phone number *

Gender *

Male

Female

Marital status *

Occupation

Address (House number)

Address (Street name)

Address (City)

Address (State)

California

Other:

Clear selection

Address (ZIP)

Emergency contact (Name) *

Emergency contact (Relationship) *

Parent

Spouse

Sibling

Child

Relative

Friend

Neighbor

Other:

Emergency contact (Phone number) *

If you previously attended another church, please type in the name and city of the church below:

Have you been baptized? *

Yes (Please enter the date of your baptism in the Other field below)

No, but I wish to be

No, and I do not wish to be

Other:

Have you attended at least one of the two sessions of our MCUMC101 Membership Class? *

Yes (Please enter the number of classes attended in the Other field below)

I am willing to participate in these classes in the future

Other:

Required

I desire to become an active member and support the ministries of Mission Community United Methodist Church, and therefore I hereby apply for membership to this church. (Type in your name and today's date. By typing your name, you understand and agree that this will be your electronic signature.) *

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms