New Member Form
Welcome to the Family that Meets at Kannapolis church of Christ
Name
First Name
Last Name
Birthday (Day/Month)
Cell Number
Please enter a valid phone number.
Email
example@example.com
Baptized
Yes
No
Physical Address
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone (Land Line)
Please enter a valid phone number.
Spouse Information
Leave Blank if Not Applicable
Spouse Name
First Name
Last Name
Spouse Cell Number
Please enter a valid phone number.
Spouse Email
example@example.com
Spouse Birthday (Day/Month)
Spouse Baptized
Yes
No
Anniversary (Day/Month)
Children Living at Home Section
Leave Blank if not applicable (If more than four children, add information in Comments)
Child #1
First Name
Last Name
Birthday #1 (Day/Month)
Grade #1
Child #1 Baptized
Yes
No
Child #2
First Name
Last Name
Birthday #2 (Day/Month)
Grade #2
Child #2 Baptized
Yes
No
Child #3
First Name
Last Name
Birthday #3 (Day/Month)
Grade #3
Child #3 Baptized
Yes
No
Child #4
First Name
Last Name
Birthday #4 (Day/Month)
Grade #4
Child #4 Baptized
Yes
No
Other Comments
Submit
Should be Empty: