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New Disciple Orientation Registration Form
We’d Like to Get to Know You…

New member candidates, please complete this form so we can get to know you as we create/update
your personal information in Calvary’s database. This form takes about 5 minutes to complete. Thank you for your time! 

Address *
Address
Household Phone *
Household Phone
Can we share this phone number with the congregation? *
Can we share this email with the congregation? *
ADULT FAMILY MEMBER 1:
Name
Name
Gender
Cell Phone
Cell Phone
Is it okay for us to share this with the congregation?
Is it okay for us to share this with the congregation?
Birth Date
Birth Date
Marital Status
If married, we'd like to know your anniversary date:
If married, we'd like to know your anniversary date:
Have you been baptized?
If you were baptized, we'd like to know your Baptism date if you know it:
If you were baptized, we'd like to know your Baptism date if you know it:
Do you receive Holy Communion?
If you receive communion, we'd like to know your First Holy Communion date if you know it:
If you receive communion, we'd like to know your First Holy Communion date if you know it:
Have you been confirmed?
If you were confirmed, we'd like to know your Confirmation date if you know it:
If you were confirmed, we'd like to know your Confirmation date if you know it:
(We do not publish work information)
Work phone
Work phone
May we call you at work?
May we email you at work?
ADULT FAMILY MEMBER 2:
(If applicable)
Name
Name
Gender
Cell Phone
Cell Phone
Is it okay for us to share this with the congregation?
Is it okay for us to share this with the congregation?
Birth Date
Birth Date
Marital Status
Have you been baptized?
If you were baptized, we'd like to know your Baptism date if you know it:
If you were baptized, we'd like to know your Baptism date if you know it:
Do you receive Holy Communion?
If you receive communion, we'd like to know your First Holy Communion date if you know it:
If you receive communion, we'd like to know your First Holy Communion date if you know it:
Have you been confirmed?
If you were confirmed, we'd like to know your Confirmation date if you know it:
If you were confirmed, we'd like to know your Confirmation date if you know it:
(We do not publish work information)
Work phone
Work phone
May we call you at work?
May we email you at work?
RELIGIOUS INFORMATION
Do you currently hold membership in a church?
Church Phone
Church Phone
Would you like to transfer membership to Calvary?
Can Calvary contact the church?
COMMUNICATIONS
Our Newsletter is sent electronically unless you Opt-Out
Our weekly email update and Congregational Updates are sent to each disciple unless you Opt-Out
We send formal notice of Congregaitonal Meetings via email, unless you Opt-Out
CHILDREN
(If applicable.) Note: Of the following information, the only thing we include in printed directories are children's names. We provide grade and interest information to other staff and Sunday School leaders, and highlight celebrations such as special presentations, baptisms, and confirmation in bulletins and newsletters.
Do you have more than four children to include in your membership?
This form only has space for up to four minor children. Please click here to have us contact you about adding more children to your membership profile. Adult children should complete their own membership forms. Thanks!
CHILD 1
(If applicable.)
Birth Date
Birth Date
Gender
Cell Phone
Cell Phone
Baptized?
If baptized, we'd like to know this child's Baptism date if you know it:
If baptized, we'd like to know this child's Baptism date if you know it:
Receive Holy Communion?
If receive communion, we'd like to know this child's First Holy Communion date if you know it:
If receive communion, we'd like to know this child's First Holy Communion date if you know it:
Confirmed?
If confirmed, we'd like to know this child's Confirmation date if you know it:
If confirmed, we'd like to know this child's Confirmation date if you know it:
CHILD 2
(If applicable.)
Birth Date
Birth Date
Gender
Cell Phone
Cell Phone
Baptized?
If baptized, we'd like to know this child's Baptism date if you know it:
If baptized, we'd like to know this child's Baptism date if you know it:
Receive Holy Communion?
If receive communion, we'd like to know this child's First Communion date if you know it:
If receive communion, we'd like to know this child's First Communion date if you know it:
Confirmed?
If confirmed, we'd like to know this child's Confirmation date if you know it:
If confirmed, we'd like to know this child's Confirmation date if you know it:
CHILD 3
(If applicable.)
Birth Date
Birth Date
Gender
Cell Phone
Cell Phone
Baptized?
If baptized, we'd like to know this child's Baptism date if you know it:
If baptized, we'd like to know this child's Baptism date if you know it:
Receive Holy Communion?
If receive communion, we'd like to know this child's First Communion date if you know it:
If receive communion, we'd like to know this child's First Communion date if you know it:
Confirmed?
If confirmed, we'd like to know this child's Confirmation date if you know it:
If confirmed, we'd like to know this child's Confirmation date if you know it:
CHILD 4
(If applicable.)
Birth Date
Birth Date
Gender
Cell Phone
Cell Phone
Baptized?
If baptized, we'd like to know this child's Baptism date if you know it:
If baptized, we'd like to know this child's Baptism date if you know it:
Receive Holy Communion?
If receive communion, we'd like to know this child's First Holy Communion date if you know it:
If receive communion, we'd like to know this child's First Holy Communion date if you know it:
Confirmed?
If confirmed, we'd like to know this child's Confirmation date if you know it:
If confirmed, we'd like to know this child's Confirmation date if you know it:
PETS
(If applicable)