Member/Visitor Information Form - Highland Park United Methodist Church

Highland Park United Methodist Church

843.662.1233

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Highland Park United Methodist Church - Member/Visitor Database Update

* Indicates required field

Last Name *

Formal First Name *

Preferred First Name *

Date of Birth (MM/DD/YYYY) *

Gender *

Occupation *

Are you married? *

Yes No

Spouse's Name *

Do you have children? *

Yes No

Anniversary Date (MM/DD/YY) *

Please list the name, gender, and date of birth of each child under 18. (Name, Gender, MM/DD/YYYY; etc.) *

Home Address *

City *

State *

ZIP Code *

Mobile Phone *

Home Phone *

Work Phone *

Email *

Would you like to be added to our email list? *

Yes No

How would you prefer to receive our newsletter? *

Mail Email Both

Are you a member or visitor? *

Member Visitor

If you are a visitor, would you like to learn more about membership? *

Yes No

If you are a member, what date did you join HPUMC? (MM/DD/YYYY) *

If you are a member, what is your date of baptism? (MM/DD/YYYY) *

Do you attend Sunday School? *

Yes No

If you attend Sunday School, which class do you attend? *

In what areas are you currently serving or volunteering? *

Children's Ministry Choir Christian Education Missions Ministry Nurture Ministry Office Praise Team, Sound, Video Seniors Ministry United Methodist Men United Methodist Women Weekday Children's Ministry Worship Ministry Youth Ministry None

In what areas are you interested in serving or volunteering? *

Children's Ministry Choir Christian Education Missions Ministry Nurture Ministry Office Praise Team, Sound, Video Seniors Ministry United Methodist Men United Methodist Women Weekday Children's Ministry Worship Ministry Youth Ministry None

Submit

Highland Park United Methodist Church / 1300 Second Loop Rd. / Florence, SC 29505 / Phone: 843.662.1233 / Fax: 843.665.5692