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Member Information

id

First name

Middle name

Last name

Name you go by

Date of birth

date time

Gender

Male Female

Marital status

Occupation

Email address

Would you like to receive our email newsletter?

Yes No

Street address

City

State

Zip

Primary phone

Phone type

Mobile Home Work

Secondary phone

Phone type

Mobile Home Work

Have you been baptized?

Yes No

Church (name & city)

Are you currently a member of another church?

Yes No

Church (name & city)

Are you an ordained officer in the PC(USA)?

Ruling Elder

Deacon

Please indicate in which areas you have an interest:

Teach Sunday School

Youth Ministry Leader

Choir

Hand Bell Choir

Bible Study

Women's Ministry

Men's Ministry

Usher

Health Ministry

Are you joining with a spouse or significant other?

Yes No

Dependent children

0 1 2 3 4 5

Spouse/Significant Other

If you are not joining with a spouse or significant other, please leave this section blank.

First name

Middle name

Last name

Name you go by

Gender

Male Female

Date of birth

Email address

Would you like to receive our email newsletter?

Yes No

Primary phone

Phone type

Mobile Home Work

Secondary phone

Phone type

Mobile Home Work

Occupation

Have you been baptized?

Yes No

Church (name & city)

Are you currently a member of another church?

Yes No

Church (name & city)

Are you an ordained officer in the PC(USA)?

Ruling Elder

Deacon

Please indicate in which areas you have an interest:

Teach Sunday School

Youth Ministry Leader

Choir

Hand Bell Choir

Bible Study

Women's Ministry

Men's Ministry

Usher

Health Ministry

Dependent Children

If you have no dependent children, please leave this section blank.

Child 1

Name

Child is

Ours Mine Spouse's

Date of birth

Grade & School

Gender

Male Female

Has he/she been baptized?

Yes No

Child 2

Name

Child is

Ours Mine Spouse's

Date of birth

Grade & School

Gender

Male Female

Has he/she been baptized?

Yes No

Child 3

Name

Child is

Ours Mine Spouse's

Date of birth

Grade & School

Gender

Male Female

Has he/she been baptized?

Yes No

Child 4

Name

Child is

Ours Mine Spouse's

Date of birth

Grade & School

Gender

Male Female

Has he/she been baptized?

Yes No

Child 5

Name

Child is

Ours Mine Spouse's

Date of birth

Grade & School

Gender

Male Female

Has he/she been baptized?

Yes No

Milford Presbyterian Church
238 North Main Street
Milford, Michigan 48381
248.684.2805 | admin@milfordpc.org

A congregation of the Presbyterian Church (U.S.A.)