MUMC New Member Form

Please fill out this form and click submit.

Name

*

pronouns

Please select one option.

she/her he/him they/them other (specify)

other pronouns

Address

Email

*

This address will receive a confirmation email

Landline phone

Mobile phone

May we text you at this number?

Please select one option.

Yes No

Preferred Method of Contact?

Would you like us to add your email to our email list?

*

Please select one option.

Yes, please. No, thank you.

Can this information be published in the church directory

*

Please select one option.

yes no

If NO, what specifically can be included?

*

MEMBERSHIP INFORMATION (not included in directory)

Birthday (this is NOT included in directory)

*

Baptized?

*

Please select one option.

Yes No

If yes, church and year of baptism

Confirmed (as adolescent)?

*

Please select one option.

Yes No

If yes, church and year of confirmation

Profession of faith (as adult)

*

Please select one option.

Yes No

If yes, church and year of profession of faith

Current membership at what church? (name and address)

Please upload profile picture for directory (landscape 'headshot').

Upload (8MB)

Description

Please fill out this form and click submit.

Please Fix the Following

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