New Member

We’re so glad you’re here! Thank you for helping us gather your basic info so that we can keep you connected with our PTCUMC community!

Person 1(Required)
Address
MM slash DD slash YYYY
Please state if there is no previous membership.
Person 1 | Have you been baptized?(Required)
Person 1 | Former Church Address
Person 2 Name
Person 2 | Address
MM slash DD slash YYYY
Please state if there is no previous membership.
Person 2 | Have you been baptized?(Required)
Person 2 | Former Church Address
Children
First Name
Middle Name
Last Name
Preferred Name:
M/F
Birthdate
Grade
Baptized (Y or N)
Date Baptized
Confirmed (Y or N)
 
Max. file size: 50 MB.
If possible, we’d love the photo to be horizontal. Thank you!