New Membership

Full Legal Name *

Name you wish to be called

Address

City

State/Province

Zip/Postal

Country

Home Phone

Work Phone

Email

Occupation

Date of Birth

Name of Spouse (if married)

Are you over the age of 21? *

Yes

NoNo

Full Name(s) of Parent(s)

Do you have children?

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Name(s) of your child/children

Full Legal Name *

Name you wish to be called

Date of Birth *

Date of Baptism

School

Grade

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If you have come by letter of transfer or reaffirmation, what is the name and address of the church where you were a member?

Church Name

Address

City

State/Province

Zip/Postal

Country

Have you been baptized?

Have you served as an Elder?

Have you served as a Deacon?

Where? (church/city)

When?

How would you like to participate at FUPC? (such as Spritual Growth, Small Groups, Special Activities, Leadership, Bible Study, Presbyterian Women, Men's Groups, Choir, Handbells, Ministry Team, Other?)

How did you first come to FUPC?

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We are a congregation of the Presbyterian Church (USA). We treasure and cultivate our connections with Presbyterians across the United States and around the world.

Name(s) of your child/children