New Member Info Form

We warmly welcome you and request you complete the following information. PLEASE COMPLETE THIS FORM THE WEEK AFTER BECOMING A MEMBER.
Family Last Name:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone:
Format: (000) 000-0000.
Email:
example@example.com
Your First Name:

First NameLast Name
Birthdate:

MonthDayYear
Date
Work/Cell Phone:
Format: (000) 000-0000.
Date Baptized:

MonthDayYear
Date
Spouse's Name:

First NameLast Name
Birthdate:

MonthDayYear
Date
Work/Cell Phone:
Format: (000) 000-0000.
Email:
example@example.com
Date Baptized:

MonthDayYear
Date
Date Married:

MonthDayYear
Date
Child #1 Name:
Child #1 Birthdate:

MonthDayYear
Date
Child #1 Baptism Date:

MonthDayYear
Date
Child #1 Confirmation Date

MonthDayYear
Date
Child #2 Name:
Child #2 Birthdate:

MonthDayYear
Date
Child #2 Baptism Date:

MonthDayYear
Date
Child #2 Confirmation Date:

MonthDayYear
Date
Child #3 Name:
Child #3 Birthdate:

MonthDayYear
Date
Child #3 Baptism Date:

MonthDayYear
Date
Child #3 Confirmation Date:

MonthDayYear
Date
Child #4 Name:
Child #4 Birthdate:

MonthDayYear
Date
Child #4 Baptism Date:

MonthDayYear
Date
Child #4 Confirmation Date:

MonthDayYear
Date
Military Branch (if applicable):
ActiveReserveRetired
In case of Emergency Contact:
Phone/Cell #:
Format: (000) 000-0000.
Date you joined our church:

MonthDayYear
Date
Method Joined:

Certificate of Transfer*Profession of FaithRenewal of Vows
*If Method Joined is "Certificate of Transfer," how are you transferring?

From another UMCFrom another denomination
Former Church's Name and Address:
All information given on this form is strictly confidential and is for SUMC's use only. A copy of your submission will be sent to the church office. THANK YOU!
Should be Empty: