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Membership Form
Your responses will be added to our data base and will not be published without your permission. If you don't have all the exact dates (such as for your confirmation), fill in as the best you can.
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Email
*
Your email
Name (first, middle, (maiden) last
Your answer
Date of birth
MM
/
DD
/
YYYY
Contact information (address, email, phone numbers)
Your answer
Do you want to be included on our email list?
Yes
No
Clear selection
Ethnicity
Your answer
Church background/previous congregation
Your answer
Baptized?
Yes
No
Unsure
Date of baptism
MM
/
DD
/
YYYY
First communion?
Yes
No
Date of First communion
MM
/
DD
/
YYYY
Confirmed
Yes
No
Clear selection
Confirmation date
MM
/
DD
/
YYYY
Married? Date?
Your answer
Additional Household members (list name, date of birth, relationship to family, baptism date, confirmation date)
Your answer
Contact in case of emergency
Your answer
Job title/status
Your answer
Do you want to receive physical (paper) offering envelopes?
You can also set up regular giving on our website
Yes
No
Clear selection
Interests, hobbies, skills, talents
Your answer
I am interested in learning about and/or participating in any of the following ministries:
Worship assistant
Usher
Altar guild
Music (choir, hand bells, special music)
Sunday school teacher or aide
Social ministry (i.e. homeless shelter volunteer, Care kits for disasters, food ministries, etc.)
Property needs (i.e. repair, lawn care, painting, special projects)
Evangelism (outreach to wider community)
Social Media
Finance (tracking congregational finances)
Fundraising
Other:
Other information want to share
Your answer
A copy of your responses will be emailed to the address you provided.
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