Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Household Phone *

(###)

###

####

Can we share this phone number with the congregation? *

Yes

No

Can we share this email with the congregation? *

Yes

No

Name

First Name

Last Name

Gender

Male

Female

Cell Phone

(###)

###

####

Is it okay for us to share this with the congregation?

Yes

No

Is it okay for us to share this with the congregation?

Yes

No

Birth Date

MM

DD

YYYY

Marital Status

Single

Single Parent

Married

Engaged

Widowed

Other

If married, we'd like to know your anniversary date:

MM

DD

YYYY

Have you been baptized?

Yes

No

I don't know

If you were baptized, we'd like to know your Baptism date if you know it:

MM

DD

YYYY

Do you receive Holy Communion?

Yes

No

If you receive communion, we'd like to know your First Holy Communion date if you know it:

MM

DD

YYYY

Have you been confirmed?

Yes

No

If you were confirmed, we'd like to know your Confirmation date if you know it:

MM

DD

YYYY

Work phone

(###)

###

####

May we call you at work?

Yes

No

May we email you at work?

Yes

No

Name

First Name

Last Name

Gender

Male

Female

Cell Phone

(###)

###

####

Is it okay for us to share this with the congregation?

Yes

No

Is it okay for us to share this with the congregation?

Yes

No

Birth Date

MM

DD

YYYY

Marital Status

Single

Single Parent

Married

Engaged

Widowed

Other

Have you been baptized?

Yes

No

I don't know

If you were baptized, we'd like to know your Baptism date if you know it:

MM

DD

YYYY

Do you receive Holy Communion?

Yes

No

If you receive communion, we'd like to know your First Holy Communion date if you know it:

MM

DD

YYYY

Have you been confirmed?

Yes

No

If you were confirmed, we'd like to know your Confirmation date if you know it:

MM

DD

YYYY

Work phone

(###)

###

####

May we call you at work?

Yes

No

May we email you at work?

Yes

No

Do you currently hold membership in a church?

Yes

No

Church Phone

(###)

###

####

Would you like to transfer membership to Calvary?

Yes

No

Can Calvary contact the church?

Yes

No

Our Newsletter is sent electronically unless you Opt-Out

Check only to OPT-OUT of Emailed Newsletter

Our weekly email update and Congregational Updates are sent to each disciple unless you Opt-Out

Check only to OPT-OUT of Weekly Email/Congregational Updates

We send formal notice of Congregaitonal Meetings via email, unless you Opt-Out

Check only to OPT-OUT of Emailed Congregational Meeting Notices

Do you have more than four children to include in your membership?

This form only has space for up to four minor children. Please click here to have us contact you about adding more children to your membership profile. Adult children should complete their own membership forms. Thanks!

Yes, please contact me to add more minor children to my membership profile.

Birth Date

MM

DD

YYYY

Gender

Male

Female

Cell Phone

(###)

###

####

Baptized?

Yes

No

If baptized, we'd like to know this child's Baptism date if you know it:

MM

DD

YYYY

Receive Holy Communion?

Yes

No

If receive communion, we'd like to know this child's First Holy Communion date if you know it:

MM

DD

YYYY

Confirmed?

Yes

No

If confirmed, we'd like to know this child's Confirmation date if you know it:

MM

DD

YYYY

Birth Date

MM

DD

YYYY

Gender

Male

Female

Cell Phone

(###)

###

####

Baptized?

Yes

No

If baptized, we'd like to know this child's Baptism date if you know it:

MM

DD

YYYY

Receive Holy Communion?

Yes

No

If receive communion, we'd like to know this child's First Communion date if you know it:

MM

DD

YYYY

Confirmed?

Yes

No

If confirmed, we'd like to know this child's Confirmation date if you know it:

MM

DD

YYYY

Birth Date

MM

DD

YYYY

Gender

Male

Female

Cell Phone

(###)

###

####

Baptized?

Yes

No

If baptized, we'd like to know this child's Baptism date if you know it:

MM

DD

YYYY

Receive Holy Communion?

Option One

Option Two

If receive communion, we'd like to know this child's First Communion date if you know it:

MM

DD

YYYY

Confirmed?

Yes

No

If confirmed, we'd like to know this child's Confirmation date if you know it:

MM

DD

YYYY

Birth Date

MM

DD

YYYY

Gender

Male

Female

Cell Phone

(###)

###

####

Baptized?

Yes

No

If baptized, we'd like to know this child's Baptism date if you know it:

MM

DD

YYYY

Receive Holy Communion?

Yes

No

If receive communion, we'd like to know this child's First Holy Communion date if you know it:

MM

DD

YYYY

Confirmed?

Yes

No

If confirmed, we'd like to know this child's Confirmation date if you know it:

MM

DD

YYYY