New Members form

Name *

Address, City, State and Zip code *

Family members List all family members with Birth dates, separate names with comma. *

Email address/addresses *

Home Phone *

Cell Phone/Cell Phones *

Preferred method of communication Check all that apply. *

Email
Home Phone
Cell Phone
Mail

Do you have or use Facebook *

Yes
No

Do you use online donation instead of cash or check? You can access right from website using Zeffy under Donations. *

Yes
No

Do you have children who would like to join our Sunday School? *

Yes
No

Name and age of children interested in Sunday School. *

For usage in pictures and/or videos. List Names that CAN be used. *

Print Name *

Signature Required *