Membership Matters 2012 Form
We are asking EVERY member to submit a new/updated form for our membership roster. Be sure to check the Sunday bulletins and website for additional information to be released soon regarding this campaign. Thank you!
Please complete the information below the first section for your spouse, child/children, and others living in your household. Indicate the relationship for each person as well as the baptismal info.
If you need more spaces for additional members of your household, complete a second form and be sure to mark NO on the head of household question.
Membership Matters Form
First Name:
Middle Name: Suffix:
Last Name:
Date of Birth: Month: Day: Year:
Head of Household? Yes: No:
Home Address: Apt. #:
Home #: Cell #: Work #:
Email:
Marrital Status: Married: Single: Widow:
Wedding anniversary date: Month: Day: Year:
Are you enrolled in Sunday School? Yes: No:
If yes, which class?:
Have you completed New Members Class? Yes: No:
If yes, approximate date/year:
Have you been baptized as a believer by immersion? Yes: No:
List the location and approximate date of your baptism:
If you have not been baptized, are you willing to do so as a public affirmation of your faith in Jesus Christ? Yes: No:
Relationship to Head of Household:
