Member Form

Spouse/Significant Other
First NameLast Name
Email
example@example.com
Cell Phone
Please enter a valid phone number.
Home Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Birthday*

MonthDayYear
Wedding Date

MonthDayYear
Current Member of a Church

Yes
Children living at home
Child's Name

First NameLast Name
Date of Birth

MonthDayYear
Date of Baptism (if applicable)

MonthDayYear
Share gender here
Click below to add another child

Yes
Name

First NameLast Name
Date of Birth

MonthDayYear
Date of Baptism (if applicable)

MonthDayYear
Share gender here
Click below to add a third child

Yes
Name

First NameLast Name
Date of Birth

MonthDayYear
Date of Baptism (if applicable)

MonthDayYear
Share gender here
Click below to add a fourth child

Yes
Name

First NameLast Name
Date of Birth

MonthDayYear
Date of Baptism (if applicable)

MonthDayYear
Share gender here

All new members of Williamsburg UMC receive a nametag free of charge! If you ever need a replacement, the cost is $9 per name tag.

You can choose a nametag with a pin back or a magnetic back (but the magnetic back is not recommended for use with pacemakers).

Let us know how you want your name printed below as well as your preferred backing.
Name for Nametag
Preferred Backing for Nametag

Pin BackMagnetic Back
Name(s) for Child(ren)'s Nametags
Preferred Backing for Child(ren)'s Nametag(s)

Pin BackMagnetic Back
Should be Empty: