DFUMC Membership Form

Date First Attended

Adult #1 Name

First Name

Last Name

Address

Phone:

Date of Birth:

ex: 12/10/1938

Have you ever been baptized?

Yes/No

Marital Status

Adult #2 Name (if applicable)

If not applicable, please skip.

Email Address

If not applicable, please skip.

Date of Birth

If not applicable, please skip.

Have you ever been baptized?

Yes/No

How many children do you have?

If not applicable, please skip.

Please list your children's name, date of birth, & grade level

If not applicable, please skip.

If you were previously a member of another church, please list which one. If you do not have a previous church please write "none."

You may take membership vows at either worship service. Which service do you plan to attend?

9am

11am