Personal Contact Information

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Please fill out a separate form for each adult member of your family.

Name

*

Date of Birth

Email

*

This address will receive a confirmation email

Home Phone

Cell Phone

Address

*

Marital Status

*

Please select one option.

Single Married Widowed Divorced Separated

Name of Spouse

Anniversary Date

Minor Children, Names and Date of Birth

Church Information

Member of FBC Weymouth

*

Please select one option.

Yes No Interested in Membership

Approximate Date of Membership

Have you been baptized?

*

Please select one option.

Yes No Interested in Baptism

Approximate Date of Baptism

Place of Baptism

Ministries or Committees you are involved with?

Ministries or Committees you would be interested in learning about?

Please select all that apply.

AWANA Baptismal Committee Children's Ministry Deaconesses Deacons Decorating Committee FBCS School Committee Finance Committee Men's Ministry Missions Committee Nursery Property Committee Sound Sunday School Usher Women's Ministry Worship Team Youth Leader

Are you a Flock Group Member?

*

Please select one option.

Yes No No, please assign to a Flock Group

Who is your Flock Group Leader

Please select one option.

Tim Begin Alan Berthiaume David DiGiusto Stephen DiGiusto Jonathan Reed

Description

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