Application for Membership
Sign in to Google to save your progress. Learn more
Email *
What is your full name? *
What is your full address? *
Please list your phone numbers.  *
What is your preferred Email address? *
Seasonal contact information, If Applicable. Please include address, phone number, and email. 
Date of Birth *
MM
/
DD
/
YYYY
Marital Status
Clear selection
Place of Employment or Former Occupation
Please list the names of your minor children including their date of birth, place of birth, and the church and year they were baptized
Please list the name(s) and Phone number(s) of your emergency contact(s)
Which worship service do you normally attend during "season?" *
How would you like your name to appear on your name tag? *
Do you have in mind who you would like to be your "First Year Friend"/Sponsor? If left blank, the Membership coordinator will determine who is a good match. 
Where did you grow up or live before coming to Vero Beach?
What brought you to Vero Beach and how long have you lived here?
What led you to First Presbyterian Church Vero Beach
What would you like to tell us about your family?
Previous church or community involvement/volunteering/activities?
What did you like or appreciate about your previous church experience?
What are your hobbies or interests?
If you feel led to do so, please share about your faith journey. 
In waht way(s) might you feel called to serve the church? Select all that apply 
Is there anything we, as the church, can do to serve you more fully?
Is there anything else you'd like to tell us about yourself?
Please indicate the manner in which you are coming into membership.  *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report