New to the Church?

   Are you new to the church?  Let us know who you are!  Are you interested in membership?
   Send us your information so that we may contact you and provide you with information
   about the ministries offered here at WUMC!  Your information will be sent to the Church
   Administrator and the Director of Involvement Ministries.

   Address      Subdivision 

   City     State    Zip 

   Home Number 

   Allowed to publish in Church Directory:
   Address:  Yes   No    Phone:   Yes   No    E-mail:   Yes   No

   His Information Her Information
Last Name
First Name
Middle Name
Maiden Name
Perferred Name
E-mail
Place of Employment
Occupation and/or Skills
Work Number
Hobbies and/or Interests
Birthdate (mm/dd/yyyy)
Marital Status (s/m/w/d)

Name & Address of Church where
your membership is now
Place of Baptism

Children's Information
(For children under 19 living at home)

   Child 1 Child 2  Child 3  
Last Name
First Name
Middle Name
Perferred Name
Birthdate (mm/dd/yyyy)
School Attending
Grade
Baptized
(Yes of No)
Date & Place of Baptism
Confirmed (Yes or No)