St. Paul UMC Membership Form
Full Name (First Middle Last)
Preferred Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Birth Date
-
Month
-
Day
Year
Date
Baptism Date
-
Month
-
Day
Year
Date
Marital Status
Please Select
Single
Married
Divorced
Widowed
Separated
Anniversary Date
-
Month
-
Day
Year
Date
Emergency Contact Name
First Name
Last Name
Emergency Contact Relationship to You
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Occupation
Employer
Interests
I Would Like to Join During:
9 AM Worship
11 AM Worship
Date Joining
-
Month
-
Day
Year
Date
Method of Joining
Please Select
Profession of Faith
Reaffirmation of Faith
Transfer from UMC
Transfer from Other Denomination
Previous Church Name
Previous Church Location
Today's Date
-
Month
-
Day
Year
Date
Do you have children who will attend with you?
Yes
No
How many children?
Please Select
1
2
3
Child's Full Name (First Middle Last)
Preferred Name
Baptized?
Yes
No
Date of Baptism
-
Month
-
Day
Year
Date
Confirmed?
Yes
No
Date of Confirmation
-
Month
-
Day
Year
Date
Birth Date
-
Month
-
Day
Year
Date
School
Grade
Allergies/Special Needs
Child's Full Name (First Middle Last)
Preferred Name
Baptized?
Yes
No
Date of Baptism
-
Month
-
Day
Year
Date
Confirmed?
Yes
No
Date of Confirmation
-
Month
-
Day
Year
Date
Birth Date
-
Month
-
Day
Year
Date
School
Grade
Allergies/Special Needs
Child's Full Name (First Middle Last)
Preferred Name
Baptized?
Yes
No
Date of Baptism
-
Month
-
Day
Year
Date
Confirmed?
Yes
No
Date of Confirmation
-
Month
-
Day
Year
Date
Birth Date
-
Month
-
Day
Year
Date
School
Grade
Allergies/Special Needs
Submit
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