Information Update Form
Please complete this form and return to the church office. Thank you!
Personal Information
Name
*
Address
*
City, State, Zip Code
*
Phone - Home
*
Phone - Cell
*
Phone - Work
*
Which phone do you prefer to receive calls?
*
Please select one option.
Cell
Home
Work
Select Option
Cell
Home
Work
Preferred Email
*
Birthdate: We are required to submit a statistical report every year. This report includes a breakdown of our congregation by gender, age group and ethnicity. To prepare this report, please provide your birthdate and ethnicity below. We will NOT share information with the congregation without your permission.
*
Gender
*
Please select one option.
Male
Female
Ethnicity
*
Please select all that apply.
Asian
Black
African American
African
Middle Eastern
Hispanic
Native American
White
Other
Family Information
Spouse's Name (if applicable)
Anniversary (If Applicable)
Do you have children still living at home? If so, please provide name(s) and birthdate(s).
*
Membership Status
Membership Type
*
Please select one option.
Baptized Member - have been baptized in any congregation but have not made a profession of faith in Jesus Christ.
Active Member - have made a profession of faith in Jesus Christ, has been baptized, has been received into membership of PCLT and voluntarily submits to the government of the church,
Affiliate Member - Member of another congregation of any Christian denomination
Friend of PCLT - regularly attends PCLT and participates in the life and mission of the church
Visitor
Visitor-Interested in Joining PCLT
Church Life
Are you an ordained elder?
*
Please select all that apply.
Yes
No
Are you interested in becoming an elder? Note: PCLT does not have Deacons at this time.
*
Please select all that apply.
Yes
No
Are you an ordained deacon?
*
Please select one option.
Yes
No
If you have been ordained as an Elder or Deacon, where and when?
Committees
Committee: Currently On
*
Please select all that apply.
Christian Education
Finance
Hospitality
Mission & Outreach
Property
Worship
None
Committee: Interested in or would like more information
*
Please select all that apply.
Christian Education
Finance
Hospitality
Mission & Outreach
Property
Worship
Submit
Description
Please complete this form and return to the church office. Thank you!
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