Stonybrook New Member Class Form
Sunday, February 2 from 12:30-2:30 pm | Please fill out this form and click submit.
Adult 1
*
I will need childcare: please list name of children and ages
*
Preferred Name
Email
*
This address will receive a confirmation email
Phone
*
Address
*
--
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
Occupation
*
Marital Status
Ethnicity
Birthday
Wedding Date
Emergency Contact (Name & Phone number)
*
Allergies
I give permission for my contact information (Name, address, phone number, and email) to be viewed electronically by other Stonybrook Members.
*
Please select one option.
Yes
No
Have you been baptized?
*
Please select one option.
Yes
No
Are you transferring membership from another church?
*
Please select one option.
Yes
No
Church name and address
Children Living at home, name
Other Adult if applicable
Adult 2 Name
Adult 2 Preferred Name
Adult 2 Phone
Adult 2 Email
Occupation
Ethnicity
Birthday
Emergency name and phone number
Allergies
I give permission for my contact information (Name, address, phone number, and email) to be view electronically by other Stonybrook Members.
Please select one option.
Yes
No
Have You been baptized
Please select one option.
Yes
No
Are you transferring membership from another church?
Please select one option.
Yes
No
Name of Church and address
Submit
Description
Sunday, February 2 from 12:30-2:30 pm
Please fill out this form and click submit.
×
Please Fix the Following