Join Paxton UCC

We are excited you are interested in joining. Please fill out the parts of this survey that you feel will help the Paxton UCC community support your transition into our church family.We can't wait to meet you and give you a warm Paxton welcome.

Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State
Zip Code	Country

E-mail

Phone Number

- Area Code Phone Number

Home Cell

Phone Number

- Area Code Phone Number

Home Cell

Date of Birth

Spouse's name

Spouse's E-mail

Spouse's Phone Number

- Area Code Phone Number

Home Cell

Spouse's Date of Birth

Child(s) name & Birthday

List talents/skills/dreams you hope to share as a member of Paxton UCC

Do you have any other information that you would like to share?

Do you need us to request a transfer from your former congregation? If so please provide an address.

Yes No