First-Plymouth Congregational Church Membership Form

Please fill out and click the submit button at the end of this form.

You do not have to fill out every field. The fields that have a * is required to fill out and then please fill out those fields that apply to you.

Once this form is complered and recieved, you are a Memeber of First-Plymouth
(To be filled out for each individual 9th grade and over)

Title:

Date:*
mm/dd/yy

LastName:*

FirstName:*

Initial:

Address:*

City:*

State:*

Zip:*

HomePhone:*

WorkPhone:

CellPhone:

EMail Address:

I want to receive the First-Plymouth newsletter, The Herald by e-mail.

MaritalStatus:

SpousesName:

BirthDate:

Were You
Baptized?

Maiden
Name:

Occupation:

Employer:

How did you hear about us?

WHAT SERVICE WILL YOU REGULARLY ATTEND?

HOW ARE YOU JOINING FIRST-PLYMOUTH?

(First time you’ve joined a church)

(Have not been a member anywhere for a few years)

(Coming from another church)

If we are to write your letter of transfer, please supply the following:

Name of Church:

Full Address:

How is your name listed on their records:

Please provide some information about you, your family, your occupation, interests, etc. that we may use in our newsletter, on facebook, and on the web:

If you have children, please fill out the registration for children at the end if this form.
Please continue to check for volunteer opportunities at First-Plymouth Church)

First-Plymouth Activities

Please check the activities you are interested in.

Name: Phone:

Usher:



Outreach Commmittees:



Church School Volunteers:



Music Programs:









ChildCare:


Children, Youth & Family Ministry:




Vacation Church School (July):
Vacation Church School

Greeter:



Fellowship Groups:

Receptionist/Phone–Volunteer 1-2 times per month:


Volunteer groundskeeper (no mowing or heavy work):
Groundskeeper

Serve on Church Board:







Food & Service Volunteer:


Loaves & Fishes meals to church members in time of need:


Stephen Ministry:
Stephen Ministry

TV Production Volunteer:
TV Production

Office Help:


Womens’ Circles with a focus of:



Special Interests:







Special talents, interests, not mentioned above.

If you have ideas for programs or activities for First-Plymouth Church or suggestions for a resource person, please let us know.

Registration of Children

Date:

Last Name

First Name

M/F

Age

Grade

Birth Date

Baptism Date

Parent(s) Name:

Address: Zip: Phone:

Email:
Cellphone:

Church School or nursery session your child will attend:

Anything special we should know about your child(ren)?

As a parent, I can participate in the program by:

Please list any ideas you have for activities, resources, or resource people which may be included in our programs.