Church Membership Form

Resurrection Information/Registration Update Form

All information on this form is strictly confidential
Head of Household*

First NameMiddle NameLast Name
Maiden Name (if applicable)

Maiden Name
MaleFemale
Date of Birth*

MonthDayYear
E-mail*
example@example.com
Marital Status*
What are some of your talents and/or giftings?
What role(s) do you play in your church, if any? (ie: Usher, Cantor, teacher, etc)
Spouse

First NameMiddle NameLast Name
Maiden Name (if applicable)

Maiden Name
MaleFemale
Date of Birth

MonthDayYear
E-mail
Date of Marriage

MonthDayYear
What are some of your talents and/or giftings?
What role(s) do you play in your church, if any? (ie: Usher, Cantor, teacher, etc)
Family Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Family Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Family Phone Numbers

Area CodePhone Number
Mobile 1

NamePhone Number
Mobile 2

NamePhone Number

Sacraments

In this section please list all Family Members and dates of their sacraments. (Jane Smith - Baptized 10-15-2003, 1st Communion - 05-03-2011)
Should be Empty:

Resurrection Information/Registration Update Form