New Member Information

Please fill out this form and click submit.

Please complete this form so we can get to know a little more about you, and JT will get you connected with a care elder and his wife. You will be recognized as a new part of the Laurel church family during a worship service (with your permission) soon after you submit this form.

Personal Information

Name

Gender

Marital Status

Please select all that apply.

Single Married Divorced Separated Widow/Widower

Spouse Name (if married)

Address

Primary Phone

This address will receive a confirmation email

Work Phone (if applicable)

Occupation

Employer/School

Job Title

Date of Baptism

Date of Birth

Family Information

Child 1 (still at home)

Gender

Date of Birth

School

Grade

Baptized?

Please select one option.

Yes No

Child 2 (still at home)

Gender

Date of Birth

School

Grade

Baptized?

Please select one option.

Yes No

Child 3 (still at home)

Gender

Date of Birth

School

Grade

Baptized?

Please select one option.

Yes No

Child 4 (still at home)

Gender

Date of Birth

School

Grade

Baptized?

Please select one option.

Yes No

Other Information

Do you wish to receive Laurel Family News (weekly bulletin) & daily updates via email?

Please select one option.

Yes No

Do you wish to receive occasional text updates?

Please select one option.

Yes No

What is the name and address of your former church home if you've attended a church previously?

Are you willing to be included in our online directory through Breeze?

Please select one option.

Yes No

Feel free to tell us more about yourself and/or your family - interests, hobbies, talents, background, etc. You may also list questions you have about Laurel or about Christianity.

Description

Please fill out this form and click submit.

New Member Information

Description

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