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Membership Form
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Are you a Member of the Church?
Yes
No
I'd like to join
Seasonal Participant
Name
Your answer
Address
Your answer
City/State/Zip
Your answer
Mailing Address (if different)
Your answer
Phone
Home
Cell
Work
Other:
Phone Number
Your answer
Email address
Your answer
Preferred contact method
Phone
Email
Mail
Text
Birthdate
MM
/
DD
/
YYYY
Wedding Anniversary (if applicable)
MM
/
DD
/
YYYY
Baptism Date
MM
/
DD
/
YYYY
Would you like us to take a new photo of you?
Yes
No
Clear selection
Veteran?
Yes
No
Clear selection
Military Branch
Army
Navy
Marine Corps
Air Force
Coast Guard
Merchant Marines
Clear selection
Do you currently participate in areas of the church? (Pick all that apply)
Usher
Reader
Alter Guild
A/V Tech
Music Ministry
Prayer Team
Acolyte
Castaways
Rx Assistance
First Learning Tree
VBS
Children's Ministry
Bible Study
Health Ministry
Office Angels
Youth Group
Other:
Are you interested in participating in any Church Activities? If so, which
Your answer
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