New member

First Congregational United Church of Christ New Member Information
ADULTS IN THE FAMILY:
FULL NAME *

First Name Last Name
Birthday
E-mail *
cell phone number

Area Code Phone Number
other phone number

Area Code Phone Number
I am becoming a member

Yes No
FULL NAME

First Name Last Name
Birthday
E-mail
cell phone number

Area Code Phone Number
other phone number

Area Code Phone Number
I am becoming a member

Yes No
Anniversary (if any)
Address *

Street Address

Street Address Line 2

City State

Zip Code Country
CHILDREN IN THE FAMILY:
Full Name

First Name Last Name
Birthday
Full Name

First Name Last Name
Birthday
Full Name

First Name Last Name
Birthday
Full Name

First Name Last Name
Birthday
May we include your contact information in the directory? *

Yes No Yes, but not all of it . (Please explain below.)
explain here:
OTHER INFORMATION
Please share emergency contact information and/or any important medical information we should have about you. NOTE: If your legal name doesn't match the one you commonly use, please share it in case we ever need to find you in a hospital or emergency.
We are joining by

Letter of Transfer Confession of Faith Reaffirmation of Faith
If "Letter of Transfer" please provide contact information for your previous congregation so we can contact them:
Do you need nametags?

Yes No
Are there ways in which First Congregational UCC can be supportive of you at this moment in time?
Are there things you enjoy doing or would like to participate in at First Congregational?
We would love to introduce you to the rest of the congregation via our monthly church newsletter. Please write a couple of paragraphs about you/your family. You might want to include information about your profession, hobbies, passions; your religious background; what brought you to First Congregational; why you decided to become a member of our congregation. The newsletter is mailed to members/friends of First Congregational. We will not publish your bio or photo in the "website version" that is accessible to the public.
Please share a photo for the newsletter and the directory (only accessible to members/friends of First Congregational).
Anything else you’d like us to know?
Should be Empty:

First Congregational United Church of Christ New Member Information