New Member Information-04a - Roswell Presbyterian Church

NEW MEMBER INFORMATION

Form 4-a

Household Last Name

CHILD ONE

Child's Full Name

First Name

Last Name

Goes by Name

Birth Date

MM

DD

YYYY

Relationship to Member

Identifies as

Email

(where applicable)

Baptized?

Yes

No

If Yes, when?

Date Baptized

MM

DD

YYYY

Confirmed?

Yes

No

If Yes, when?

Date Confirmed

MM

DD

YYYY

If confirmed, is he/she/they joining RPC?

Yes

No

For Children and Youth: What school do you attend?

Grade