New Member Form
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Name(s) *
When did you start attending at 1st Congregational UCC Dubuque? *
What is your religious background?
Could you share a few sentences about yourself so that we can introduce you in the church? *
Do you have any special interests in volunteering?
Address *
Phone number(s) *
Email (s)
Preferred method of contact
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Birthdate(s) *
Wedding Anniversary date
Are you a new to the Dubuque area? *
If you are new to that area, where did you previously reside?
Have you attended a newcomer meeting with Pastor? *
Children/Family Members in household  
Children (s) Birthdate      
Children(s) Baptism Year
Children (s) Confirmation Year
What is the best date for you to join the church?
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