FPCB ECO New Member Class 2018
Sunday, February 4, 11 a.m.–2 p.m.
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Gender:
*
Male
Female
Marital Status
*
Single
Married
Divorced
Widowed
Wedding Date
*
-
Month
-
Day
Year
Date Picker Icon
Church where married
*
Cell Phone #
*
-
Area Code
Phone Number
Click here if unlisted
Unlisted
Home Phone #
-
Area Code
Phone Number
Click here if unlisted
Unlisted
E-mail
*
Were you baptized?
*
Yes
No
Date of Baptism and Church where baptized
Were you ever ordained in the Presbyterian Church as:
A Deacon
An Elder
No
Have you held a leadership position in the past? If you have, please explain
Are you currently involved in any of the ministries at FPCB ECO?
What community services have you done?
Occupation
*
Business Phone #
*
-
Area Code
Phone Number
Retired
*
Yes
No
Received into FPCB ECO membership by
*
Profession of Faith
Reaffirmation
Letter of Transfer
Baptism
If Letter of Transfer, please list the church transferring from:
I'd like to register for the following class.
*
Sunday, February 4, 11 a.m. - 2 p.m.
Do you need child care?
*
Yes
No
If Yes, please list names and ages of children
List All Members In Your Home (Please put asterisk* if person is active at FPCB ECO) Include Graduation Year if child is still active in High School.
*
Full Name
Relationship
Birth Date dd/mm/yy
Gender M/F
Baptized Yes/No
Enrolled in Sunday School Yes/No
Submit
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