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New Member Information
Please complete this form for each member of your family.
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* Indicates required question
Name (first, middle & Last)
*
Your answer
Mailing Address
Your answer
Phone Number (Landline &/ Cell)
Your answer
Is it ok to send you text messages from church, the pastor or church staff?
Yes
No
Clear selection
Email Address
Your answer
Would you like to receive newsletters by email or through regular mail?
I prefer Email
I prefer regular mail.
Clear selection
Would you like to receive the weekly bulletin by email?
Yes
No
Clear selection
Birthdate
MM
/
DD
/
YYYY
Baptism Date
MM
/
DD
/
YYYY
If student: Current Grade in School
Your answer
Confirmation Date
MM
/
DD
/
YYYY
Marriage Date
MM
/
DD
/
YYYY
Name and Address of Current Church Membership
Your answer
Anything else you'd like to share (such as talents and hobbies):
Your answer
Submit
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