Welcome to Sampson's Mills
Presbyterian Church!
We're glad you're here!
NEW MEMBER FORM
First Name of Family Member 1
*
Last Name of Family Member 1
*
Date of Birth Family Member 1
-
Month
-
Day
Year
Birth Date
Email of Family Member 1
example@example.com
Phone of Family Member 1
Format: (000) 000-0000.
First Name of Family Member 2
Last Name of Family Member 2
Date of Birth Family Member 2
-
Month
-
Day
Year
Birth Date
Email of Family Member 2
example@example.com
Phone of Family Member 2
Format: (000) 000-0000.
Street Address
City, State & Zip
Please include this contact information in the next Church Directory update.
Yes
No
Would you like to receive traditional offering envelopes?
YES
NO, I prefer to give online
Family Information (please include all children's names & ages who live at home with you)
Past Church Experience
What draws you to the Sampson's Mills Community?
What gifts do you want to use to build up the body of Christ at Sampson's Mills?
Questions you might have:
Submit
Should be Empty: