Update Your Church Information - please complete one for each member of your household
Please complete one form for each member of your household.
Name
*
Birthdate
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Marital Status
*
Please select one option.
Single
Engaged
Married
Separated
Divorced
Widowed
Prefer not to say
Marital Status date
Ethnicity
*
Please select one option.
African
American Indian or native Alaskan
Asian American
Asian
Black or African American
Hispanic or Latino
Multiracial
Native Hawaiian or Other Pacific Islander
White/non-Hispanic
Prefer not to say
Church Membership
Status
*
Please select one option.
Active
Inactive
Friend of the church
Have you been baptized (whether at Good Shepherd or another church)
*
Please select one option.
Yes
No
Date of Baptism
Date of Confirmation
Membership type
*
Please select one option.
Full member
Attend regularly
Preparatory member - child not confirmed
Friend - attend, occasionally
Friend/ Family member - does not attend
Associate member
Affiliate member
Clergy
Method of joining
Please select one option.
Profession of Faith
Profession of Faith/Confirmation
Reaffirmation of Faith
Transfer from another United Methodist Church
Transfer from another church organization
Restoration from Inactive status
Baptism
Affiliate
Associate
Date of Joining
Participation
Please select all that apply.
Sunday School
United Methodist Men
United Women in Faith
Children's Ministry
Youth (6th - 12th Grade))
Young Adults
Music Ministry/Choirs
Sr. Adult Ministry
Employer and/or Education
Employer
Are you retired?
Please select all that apply.
Yes
No
Are you currently attending School?
Please select one option.
Yes
No
Select Option
Yes
No
If yes, please provide the name of your school.
Grade
Please select one option.
No Grade
Pre-Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Graduated
Select Option
No Grade
Pre-Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Graduated
Submit
Description
Please complete one form for each member of your household.
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