PPC New Member Information Form - Philadelphia Presbyterian Church

Philadelphia Presbyterian Church of Mint Hill, NC

PPC New Member Information Form

New Member Information Form:

Date:

Name (1):

Preferred Name:

Birthdate:

Date Baptized:

Cell Phone:

Email:

Occupation:

Name of Business/Address/Phone:

10.

Please Check One:

(1 required)

Yes, I would like to join PPC.

Not at this time but add to mailing list

I would like a pastor to contact me.

11.

Joining by:

(1 required)

	Proffession of Faith			Reaffirmation of Faith
	Transfer

12.

Date I would like to join PPC:

13.

Current Church Membership (give complete address if out of town):

14.

Offices and responsibilities held in former churches:

15.

Hobbies and Interest:

16.

Name (2):

17.

Preferred Name:

18.

Birthdate:

19.

Date Baptized:

20.

Cell Phone:

21.

Email:

22.

Occupation:

23.

Name of Business/Address/Phone:

24.

Please Check One:

(1 required)

Yes, I would like to join

Not at this time but add me to the mailing list

I would like a pastor to contact me

25.

Joining by:

(1 required)

Proffession of Faith

Reaffirmation of Faith

Transfer

26.

Date I would like to join PPC:

27.

Current Church Membership (give complete address if out of town):

28.

Hobbies and Interest:

29.

Home Address:

30.

City/ State/ Zip:

31.

Home Phone:

32.

Marital Status

(1 required)

Married

Divorced

Widowed

Single

33.

Anniversary Date:

34.

Emergency Contact/Phone:

35.

What functions have you attended at PPC?

36.

How did you hear about Philadelphia Church?

37.

1. Full Name of Child Living at Home:

38.

Preferred Name:

39.

Birth Date:

40.

School/Grade:

41.

Date Baptized/Confirmed:

42.

2. Full Name of Child Living at Home:

43.

Preferred Name:

44.

Birth Date:

45.

School/Grade:

46.

Date Baptized/Confirmed:

47.

3. Full Name of Child Living at Home:

48.

Preferred Name:

49.

Birth Date:

50.

School/Grade:

51.

Date Baptized/Confirmed:

52.

Additional Comments:

53.

OFFICE USE ONLY:
District Number:
District Officer:
Member Number:
Envelope Number:
Date Joining:

Type in the text that you see above: