New Member Form

Household Information

* Indicates required field

Adult Information *

First

Last

Email *

Occupation *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

My we print information in the directory *

yes no

Birthdate *

Baptism *

If yes, in what year? *

Confirmation *

If yes, in what year? *

Marriage *

If yes, in what year? *

Adult Information *

First

Last

Is the address the same as the adult above? (If yes, no need to fill out the address area) *

Yes No

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Occupation *

Phone Number *

May we print information in the directory *

yes no

Birthdate *

Baptism *

If yes, in what year *

Confirmation *

If yes, in what year *

Marriage *

If yes, in what year *

Call-Em-All is an occasional service we use to communicate important messages such as cancelled worship due to weather. *

Yes No

Our weekly e-news will be sent to your email each Friday if you indicate below. *

Yes No

The King’s Herald, our monthly publication, may be received electronically or in newsletter form through the US mail. *

Yes electronically (free method of delivery for the church) No, want it sent via US mail (please note this is a cost to the church for postage and printing)

Child 1 Name *

First

Last

Gender *

Relationship *

Birthdate *

Baptism *

If yes, in what year? *

First Communion *

If yes, in what year? *

Confirmation *

If yes, in what year? *

Marriage *

If yes, in what year? *

Child 2 Name *

First

Last

Gender *

Relationship *

Birthdate *

Baptism *

If yes, in what year? *

First Communion *

If yes, in what year? *

Confirmation *

If yes, in what year? *

Marriage *

If yes, in what year? *

Child 3 Name *

First

Last

Gender *

Relationship *

Birthdate *

Baptism *

If yes, in what year? *

First Communion *

If yes, in what year? *

Confirmation *

If yes, in what year? *

Marriage *

If yes, in what year? *

Child 4 Name *

First

Last

Gender *

Relationship *

Birthdate *

Baptism *

If yes, in what year? *

Communion *

If yes, in what year? *

Confirmation *

If yes, in what year? *

Marriage *

If yes, in what year? *

For any additional children, please list the name, gender, relationship, birth date, birth place, baptism year, first communion year, confirmation year and marriage year of any children living in the household. *

If you are new to the area, where did you live before? *

What are your interests and hobbies? *

What brought you to CtK? *

Is there anything else you would like people to know about you? *

How would you like your name printed in the Announcement Page? *

Please suggest a couple of possible Sunday dates when we may introduce you to the congregation. *

What service time do you prefer? *

Do you have any questions about the service when you will join the church? *