New member class registration

Your name *

Last name

Email address *

Phone number *

Phone type

MobileHomeWorkOther

Address *

HomeWorkOther

Country

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Birthdate *

Have you been baptized?

Yes

No

If you have been baptized, approximately what year and what church?

Are you currently a member of a church? *

Yes

No

Other

If yes, name of church. Or other comment.

Please list full names, birthdates, (and school grade, if applicable) of all the people in your household. Also indicate if they have been baptized. For our database and internal use, will not be published. *

Are you or any other family members interested in baptism at Elmhurst CRC?

Check here if we can add you to the Elmhurst CRC e-news email list?

This is the main way we communicate with our church family.

Submit

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