Please fill out the form below with your family’s information then click the green “Submit” button at the bottom of the page. We will get in touch with you once your registration is received and invite you to our next New Member Class.

Family Last Name

Home Phone

Cell Phone

Address

City

State

Zip Code

Email

Prefer to Receive Correspondence via Email?
YesNo

Marital Status


1. First Name

Middle

Last (if different)

Date of Birth

Baptized?
YesNo

Confirmed?
YesNo

Employer/Occupation

Phone

Transfer church membership from

Address, City, State, Zip


2. First Name

Middle

Last (if different)

Date of Birth

Baptized?
YesNo

Confirmed?
YesNo

Employer/Occupation

Phone

Transfer church membership from

Address, City, State, Zip


1. Child First Name

Middle

Last (if different)

Date of Birth

Baptized?
YesNo

Confirmed?
YesNo

Grade


2. Child First Name

Middle

Last (if different)

Date of Birth

Baptized?
YesNo

Confirmed?
YesNo

Grade


3. Child First Name

Middle

Last (if different)

Date of Birth

Baptized?
YesNo

Confirmed?
YesNo

Grade


4. Child First Name

Middle

Last (if different)

Date of Birth

Baptized?
YesNo

Confirmed?
YesNo

Grade


5. Child First Name

Middle

Last (if different)

Date of Birth

Baptized?
YesNo

Confirmed?
YesNo

Grade


6. Child First Name

Middle

Last (if different)

Date of Birth

Baptized?
YesNo

Confirmed?
YesNo

Grade