Second Presbyterian Church

Second Presbyterian Member Information Form
Mailing Names:
Mailing address:
City:	State: Zip Code:
Family email:
Repeat email:
Home Phone:	Mobile #:
Please list all Members of the Household:



ALTERNATE Mailing Address if applicable:
Address:
City:	State: Zip Code:
For each child in the household, please complete the following:
Child's Name:
Email Address:
Birthdate: Baptized: yes no Date:
Church where baptized (name, city, state)
Current grade in school School Attending
Confirmation class completed yes no Confirmation Date

Child's Name:
Email Address:
Birthdate: Baptized: yes no Date:
Church where baptized (name, city, state)
Current grade in school School Attending
Confirmation class completed yes no Confirmation Date

Child's Name:
Email Address:
Birthdate: Baptized: yes no Date:
Church where baptized (name, city, state)
Current grade in school School Attending
Confirmation class completed yes no Confirmation Date

Child's Name:
Email Address:
Birthdate: Baptized: yes no Date:
Church where baptized (name, city, state)
Current grade in school School Attending
Confirmation class completed yes no Confirmation Date

For each adult in the household, please complete the following:
Please put “same as household” for any information (such as your address, phone #, etc.) that is the same as what you put for Household Information. if you do not know the exact date, put an approximate date with a question mark after it. If information does not apply to you, write “N/A” in the blank. If unknown, place a question mark in the blank. Place a “C” next to each item you wish to keep confidential. THANK YOU!
Title: First Name: Middle Name: Last Name: Suffix:





Additional information:

welcome
- directions
- your first visit
- who we are
- invitation to join
- staff
- session
- history
- dedication litanies

resource links
faqs
membership
member directory
contact us

worship
- information
- children in worship
- childcare
- communion
- labyrinth
- audio sermons
- printed sermons
- podcast
- bulletins
- weddings
- ways to help
music
- adults
- children
- bell choir

connect with us
- how to join
- fellowship
- congregational care
- companions in christ
- join mailing list
- join prayer group
- facebook
- twitter
- ways to help

special groups
- @tables
- companions in christ
- men's group
- presbyterian women
- especially supportive parents
- career transition group
- strength training
- dream group
- ways to help

outreach
- room in the inn
- what donations fund
- benevolence grant
- young adult volunteers
- international partners

volunteer at second
- ways to help

volunteer in community

give
- stewardship
- donate
- online donations
- prayer
- stewardship stories
- capital campaign
- campaign pledge

upcoming events
- calendar
- special events
- second stages
- ways to help

news
- current newsletter
- newsletter archive
- submit articles
- submit stories
- join mailing list

photo galleries
- events
- epiphany
- youth
- children
- church home