New Member Form

New Members Form

Family Information

Family Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

How did you hear about Pilgrim?

What services are you most interested in attending? (Can select multiple)

Wednesday 6:00 pm (Green Bay location)

Saturday 5:00 pm (Green Bay location)

Sunday 7:45 am (Green Bay location)

Sunday 9:00 am (Green Bay location)

Sunday 9:00 am (Suamico location)

Sunday 10:30 am (Green Bay location, contemporary service)

Adults

How many adult (18 or older) new members are in your household?

Adult 1 Information

First Name

Last Name (if different from Family Name)

Select

Male

Female

Age Range

Phone

Marital Status

Single

Engaged

Married

Separated or Divorced

Widowed

Spouse or Fiance Name, if applicable

Name and location for previous church, if transferring

Hobbies or Special Talents

Would you like us to contact you to discuss opportunities with any of our ministries, social groups, Bible studies, or volunteering?

Yes

Anything else you'd like to share with us?

Adult 2 Information

First Name

Last Name (if different from Family Name)

Select

Male

Female

Age Range

Phone

Marital Status

Single

Engaged

Married

Separated or Divorced

Widowed

Spouse or Fiance Name, if applicable

Name and location for previous church, if transferring

Hobbies or Special Talents

Would you like us to contact you to discuss opportunities with any of our ministries, social groups, Bible studies, or volunteering?

Yes

Anything else you'd like to share with us?

Adult 3 Information

First Name

Last Name (if different from Family Name)

Select

Male

Female

Age Range

Phone

Marital Status

Single

Engaged

Married

Separated or Divorced

Widowed

Spouse or Fiance Name, if applicable

Name and location for previous church, if transferring

Hobbies or Special Talents

Would you like us to contact you to discuss opportunities with any of our ministries, social groups, Bible studies, or volunteering?

Yes

Anything else you'd like to share with us?

Adult 4 Information

First Name

Last Name (if different from Family Name)

Select

Male

Female

Age Range

Phone

Marital Status

Single

Engaged

Married

Separated or Divorced

Widowed

Spouse or Fiance Name, if applicable

Name and location for previous church, if transferring

Hobbies or Special Talents

Would you like us to contact you to discuss opportunities with any of our ministries, social groups, Bible studies, or volunteering?

Yes

Anything else you'd like to share with us?

Children

How many children (under 18) new members are in your household?

Child 1 Information

First Name

Last Name (if different from Family Name)

Select

Male

Female

Age Range

Mother's Name

Father's Name

Has the child been baptised by a pastor of a Christian church?

Yes

Are you interested in our Pre-K through 8th Grade day school or childcare programs?

Yes

Name and location for previous church, if transferring

Hobbies or Special Talents

Is the child interested in any opportunities with our youth ministries, social groups, youth Bible studies, or volunteering?

Yes

Anything else you'd like to share with us?

Child 2 Information

First Name

Last Name (if different from Family Name)

Select

Male

Female

Age Range

Mother's Name

Father's Name

Has the child been baptised by a pastor of a Christian church?

Yes

Are you interested in our Pre-K through 8th Grade day school or childcare programs?

Yes

Name and location for previous church, if transferring

Hobbies or Special Talents

Is the child interested in any opportunities with our youth ministries, social groups, youth Bible studies, or volunteering?

Yes

Anything else you'd like to share with us?

Child 3 Information

First Name

Last Name (if different from Family Name)

Select

Male

Female

Age Range

Mother's Name

Father's Name

Has the child been baptised by a pastor of a Christian church?

Yes

Are you interested in our Pre-K through 8th Grade day school or childcare programs?

Yes

Name and location for previous church, if transferring

Hobbies or Special Talents

Is the child interested in any opportunities with our youth ministries, social groups, youth Bible studies, or volunteering?

Yes

Anything else you'd like to share with us?

Child 4 Information

First Name

Last Name (if different from Family Name)

Select

Male

Female

Age Range

Mother's Name

Father's Name

Has the child been baptised by a pastor of a Christian church?

Yes

Are you interested in our Pre-K through 8th Grade day school or childcare programs?

Yes

Name and location for previous church, if transferring

Hobbies or Special Talents

Is the child interested in any opportunities with our youth ministries, social groups, youth Bible studies, or volunteering?

Yes

Anything else you'd like to share with us?

Child 5 Information

First Name

Last Name (if different from Family Name)

Select

Male

Female

Age Range

Mother's Name

Father's Name

Has the child been baptised by a pastor of a Christian church?

Yes

Are you interested in our Pre-K through 8th Grade day school or childcare programs?

Yes

Name and location for previous church, if transferring

Hobbies or Special Talents

Is the child interested in any opportunities with our youth ministries, social groups, youth Bible studies, or volunteering?

Yes

Anything else you'd like to share with us?

Child 6 Information

First Name

Last Name (if different from Family Name)

Select

Male

Female

Age Range

Mother's Name

Father's Name

Has the child been baptised by a pastor of a Christian church?

Yes

Are you interested in our Pre-K through 8th Grade day school or childcare programs?

Yes

Name and location for previous church, if transferring

Hobbies or Special Talents

Is the child interested in any opportunities with our youth ministries, social groups, youth Bible studies, or volunteering?

Yes

Anything else you'd like to share with us?