New Member Form
Please fill out this form and click submit.
Family Address
Address
*
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Adult Family Member 1
Name
*
Middle Name
*
Birthdate
*
Email
*
This address will receive a confirmation email
Cell Phone
*
Would you like to receive our weekly E-News with information and updates via your e-mail?
*
Please select one option.
Yes
No, thank you
If baptized, date and location
If confirmed, date and location
If married, date and location
Occupation
Employer
Hobbies
Last Church Membership's Name/Address/City (We will notify them of your request to transfer membership to Alleluia)
Additional Notes and/or Comments
Adult Family Member 2
First Name
Middle Name
Last Name
Birthdate
Email
Cell Phone
Would you like to receive our weekly E-News with information and updates via your e-mail?
Please select one option.
Yes
No, thank you
If baptized, date and location
If confirmed, date and location
If married, date and location
Occupation
Employer
Hobbies
Last Church Membership's Name/Address/City (We will notify them of your request to transfer membership to Alleluia)
Additional Notes and/or Comments
Child 1
First Name
Middle Name
Last Name
Birthdate
Email
Cell Phone
Grade in School
School Name
If baptized, date and location
If confirmed, date and location
Hobbies
Additional Notes and/or Comments
Child 2
First Name
Middle Name
Last Name
Birthdate
Email
Cell Phone
Grade in School
School Name
If baptized, date and location
If confirmed, date and location
Hobbies
Additional Notes and/or Comments
Child 3
First Name
Middle Name
Last Name
Birthdate
Email
Cell Phone
Grade in Scool
Name of School
If baptized, date and location
If confirmed, date and location
Hobbies
Additional Notes and/or comments
Child 4
First Name
Middle Name
Last Name
Birthdate
Email
Cell Phone
Grade in School
Name of School
If baptized, date and location
If confirmed, date and location
Hobbies
Additional Notes and/or Comments
Submit
Description
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