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New Member Form
Each adult or confirmed person needs to fill out a form. If you have any questions you may call the church office at 260-426-3424 extension: 2320. Thank you!
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* Indicates required question
Email
*
Your email
First Name:
*
Your answer
Middle Name:
*
Your answer
Last Name:
*
Your answer
Maiden Name:
Your answer
Please select your title:
*
Mr
Mrs
Miss
Ms
Dr
Rev Dr
Other:
Please indicate the way you want to have your name shown on mailings:
*
Your answer
Gender:
Male
Female
Other:
Clear selection
Please select the proper category:
*
Single
Married
Separated
Divorced
Engaged
Widowed
If married, date of marriage:
MM
/
DD
/
YYYY
Home Address:
*
Your answer
Home Phone:
Your answer
Cell Phone:
Your answer
What is your preferred phone number?
*
Home phone
Cell phone
Other:
Date of birth:
*
MM
/
DD
/
YYYY
Please mark the appropriate box:
African American/Black
American Indian/Alaska Native
Arab/Middle Eastern
Asian/Pacific Islander
Latino/Hispanic
Multi-Racial
White/Caucasian
Other:
Clear selection
Baptism: date, location, city, state
Your answer
Confirmation: date, location, city, state
Your answer
Name and address of church to which you presently belong:
Your answer
Full name of spouse (partner):
Your answer
Yes
No
Spouse (partner) is a member of Trinity English
Spouse (partner) also joining Trinity English at this time
Yes
No
Spouse (partner) is a member of Trinity English
Spouse (partner) also joining Trinity English at this time
Clear selection
Full names of children who will be joining Trinity with you (only one parent needs to record this information)
Your answer
Date of birth (for each child):
Your answer
Do you have relatives who are members of Trinity? If so, please list names and relationship:
Your answer
Who or what attracted you to Trinity?
Your answer
What are your special interests?
Music
Volunteering
Small group opportunities
Children/youth activities
All of the above
Other:
Clear selection
How to stay connected!
Yes
No
I would like to receive emails about upcoming events
I would like to be on our mailing list
Yes
No
I would like to receive emails about upcoming events
I would like to be on our mailing list
Clear selection
Would you like to receive offering envelopes?
Yes, monthly
Yes, weekly
No, I don't need envelopes
Clear selection
Online giving available on our website:
www.trinityenglish.org
Send me a copy of my responses.
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