2024 Member/Affiliate Form

Please fill out this Membership/Affiliate form and click submit.

Name

*

Salutation/Pronouns

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Birth Date

*

Family Info

Please fill out all areas below.

Name 1

Relationship to you

Birth Date

Does this person live with you?

Please select one option.

Yes No

Name 2

Relationship to you

Birth Date

Does this person live with you?

Please select one option.

Yes No

Name 3

Relationship to you

Birth Date

Does this person live with you?

Please select one option.

Yes No

Name 4

Relationship to you

Birth Date

Does this person live with you?

Please select one option.

Yes No

Are there any others you would like to add? Please list.

Additional Info

Do you have an anniversary? Date:

*

Do you have children that participate in Sunday School?

*

Please select all that apply.

Yes No

What is your affiliation with FWCC?

*

Please select one option.

Member Regular Attendee Frequent Visitor New Visitor

If you are a member, when did you join?

*

If not a member, how long have you been attending FWCC services?

*

What activities are you involved in?

*

What activities would you like to be involved in?

*

Description

Please fill out this Membership/Affiliate form and click submit.

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