United Faith Center Ministries International #UFCMI / Membership Data Sheet

Membership Data Sheet

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Telephone #
Cell
Carrier
Birthday
Date Format: MM slash DD slash YYYY
Email
Marriage Status
- Single
- Married
- Divorced
- Widowed
Spouse Name
Anniversary Date
Date Format: MM slash DD slash YYYY
List Children joining with you: (If child is over 18 & lives at home, they should complete a form for themselves and provide your address.)
Name
Birthday
Date Format: MM slash DD slash YYYY
Baptized
- Yes
- No
Name
Birthday
Date Format: MM slash DD slash YYYY
Baptized
- Yes
- No
Occupation
Emergency Contact Name
Emergency person phone number
Allergies
- Yes
- No
If yes, please list
- I am a new believer in Jesus Christ
- I am coming on my Christian Experience
Have you been baptized by Immersion
- Yes
- No
Former church attended
Pastor’s Name
Areas of ministry you served in
- I was a member of UFCMI in the past
Family members currently attending UFCMI:
Children's Name
Children's Name
Prayer Concerns
I understand by providing my email address, cell phone number and carrier I may receive emails and texts from United Faith Center Ministries International for informational and ministry purposes only. UFCMI will not sell or distribute my information without my explicit written consent.
Untitled
Name
This field is for validation purposes and should be left unchanged.