Emmaus Membership Weekend Spring 2021

Membership Weekend Registration

Saturday, March 13, 2021 (12:30 pm - 5:00 pm)
We are excited to have you join Emmaus Church Saturday afternoon, March 13th to learn who we are, what we believe, and what it looks like to be a covenant member. This time will include teaching and interaction and will provide an opportunity to fellowship with others interested in membership at Emmaus Church. Pre-packaged light refreshments will be provided. Due to restrictions resulting from COVID-19 child care will not be available. The meeting will take place upstairs at the Screenland Theater building in North Kansas City.
Name

First Name Last Name
Gender
Marital Status
Email
example@example.com
Phone Number

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Are you currently a member at another church? If yes, please list which church.
How long have you been attending Emmaus Church?
Will your Spouse be joining you?
Spouse Name

First Name Last Name
Spouse Email
example@example.com
Spouse Phone

Area Code Phone Number
Please list the names and ages of your children below if applicable (information used to populate the church database for future use):
Child 1 Name

First Name Last Name
Child 1 Birthday

Month Day Year
Date
Child 2 Name

First Name Last Name
Child 2 Birthday

Month Day Year
Date
Child 3 Name

First Name Last Name
Child 3 Birthday

Month Day Year
Date
Child 4 Name

First Name Last Name
Child 4 Birthday

Month Day Year
Date
Child 5 Name

First Name Last Name
Child 5 Birthday

Month Day Year
Date
Child 6 Name

First Name Last Name
Child 6 Birthday

Month Day Year
Date
Should be Empty:

Membership Weekend Registration