Membership Form

We have a mission to STAY ENGAGED with our members and for this, we need to update our existing database. In our attempt to bring our official Church Membership database up to date, we need your help. This will help us be better stewards of God’s ‘blessings’ and more accurate in our record keeping.

Rest assured that the information you provide is confidential and secure with us.

[uacf7_step_start uacf7_step_start-538 "Step One"]

ADDRESS RECORD

[uacf7-row]
[uacf7-col col:6] Family Name* [/uacf7-col]
[uacf7-col col:6] Mailing Name* [/uacf7-col]
[/uacf7-row]

[uacf7-row][uacf7-col col:12] Home Address* [/uacf7-col][/uacf7-row]

[uacf7-row][uacf7-col col:12] Nearest Bus Stop* [/uacf7-col][/uacf7-row]

[uacf7-row]
[uacf7-col col:6] Phone Number* [/uacf7-col]
[uacf7-col col:6] Alternative Phone Number [/uacf7-col]
[/uacf7-row]

[uacf7_step_end end]

[uacf7_step_start uacf7_step_start-596 "Step Two"]

CHILDREN

[uacf7-row]
[uacf7-col col:3] 1. Child Name [/uacf7-col]
[uacf7-col col:3] Child Gender MaleFemale [/uacf7-col]
[uacf7-col col:3] Child Date of Birth [/uacf7-col]
[uacf7-col col:3] Is s/he a GCM member? YesNo [/uacf7-col]
[/uacf7-row]

[uacf7-row]
[uacf7-col col:3] 2. Child Name [/uacf7-col]
[uacf7-col col:3] Child Gender MaleFemale [/uacf7-col]
[uacf7-col col:3] Child Date of Birth [/uacf7-col]
[uacf7-col col:3] Is s/he a GCM member? YesNo [/uacf7-col]
[/uacf7-row]

[uacf7-row]
[uacf7-col col:3] 3. Child Name [/uacf7-col]
[uacf7-col col:3] Child Gender MaleFemale [/uacf7-col]
[uacf7-col col:3] Child Date of Birth [/uacf7-col]
[uacf7-col col:3] Is s/he a GCM member? YesNo [/uacf7-col]
[/uacf7-row]

[uacf7-row]
[uacf7-col col:3] 4. Child Name [/uacf7-col]
[uacf7-col col:3] Child Gender MaleFemale [/uacf7-col]
[uacf7-col col:3] Child Date of Birth [/uacf7-col]
[uacf7-col col:3] Is s/he a GCM member? YesNo [/uacf7-col]
[/uacf7-row]

FAMILY/NON FAMILY MEMBERS IN YOUR HOUSEHOLD

[uacf7-row]
[uacf7-col col:3] 1. Full Name [/uacf7-col]
[uacf7-col col:3] Gender MaleFemale [/uacf7-col]
[uacf7-col col:3] Date of Birth [/uacf7-col]
[uacf7-col col:3] Relationship [/uacf7-col]
[/uacf7-row]

[uacf7-row]
[uacf7-col col:3] 2. Full Name [/uacf7-col]
[uacf7-col col:3] Gender MaleFemale [/uacf7-col]
[uacf7-col col:3] Date of Birth [/uacf7-col]
[uacf7-col col:3] Relationship [/uacf7-col]
[/uacf7-row]
[uacf7_step_end end]

[uacf7_step_start uacf7_step_start-596 "Step Three"]

INDIVIDUAL RECORD

[uacf7-row][uacf7-col col:12] Full Name* (Last name first) [/uacf7-col][/uacf7-row]

[uacf7-row][uacf7-col col:12] Home Address (if different from above) [/uacf7-col][/uacf7-row]

[uacf7-row]
[uacf7-col col:6] Email Address* [/uacf7-col]
[uacf7-col col:6] Date of Birth* [/uacf7-col]
[/uacf7-row]

[uacf7-row]
[uacf7-col col:6] Marital Status* [/uacf7-col]
[uacf7-col col:6] Married Date (If Married) [/uacf7-col]
[/uacf7-row]

[uacf7-row]
[uacf7-col col:6] Phone Number 1* [/uacf7-col]
[uacf7-col col:6] Phone Number 2 [/uacf7-col]
[/uacf7-row]
[uacf7-row][uacf7-col col:12] Occupation* [/uacf7-col][/uacf7-row]

[uacf7-row][uacf7-col col:12] Work Address [/uacf7-col][/uacf7-row]
[uacf7_step_end end]

[uacf7_step_start uacf7_step_start-596 "Step Four"]

MEMBERSHIP

[uacf7-row]
[uacf7-col col:6] Date/Year Joined Church* [/uacf7-col]
[uacf7-col col:6] Affinity Group [/uacf7-col]
[/uacf7-row]

[uacf7-row][uacf7-col col:12] [/uacf7-col][/uacf7-row]

[uacf7-row]
[uacf7-col col:6] Department [/uacf7-col]
[uacf7-col col:6] Family Point [/uacf7-col]
[/uacf7-row]

[uacf7-row]
[uacf7-col col:6] Life Development Class (LDC) [/uacf7-col]
[uacf7-col col:6] Life Development Teacher [/uacf7-col]
[/uacf7-row]

[uacf7-row][uacf7-col col:12] Past Church Position(s) [/uacf7-col][/uacf7-row]