Family Church History Forms Page 2
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5Confirmation: ___ / ___ / ______
Family Member Information:
Special Events:
First Name:
_______________
Location: _______________________
Birth: ___ / ___ / _______
Middle Name: _______________
Church: ________________________
Location:
Last Name:
_______________
Pastor: _________________________
___________________________
Preferred Name:_______________
___________________________
Maiden Name: _______________
Records/Membership at:
_______________________________
Ethnic Origin: _______________
Baptism: ___ / ___ / ______
_______________________________
Primary Language: ____________
Location: ________________________
Secondary Language: __________
Denomination: __________________
Church: _________________________
Employment: _________________
Would you like your membership transferred to
Pastor: __________________________
______
Christ Church?
Work Phone:
_______________
Sponsor: ________________________
Cell Phone:
_______________
Sponsor: ________________________
Email Address:
____________________________
Family Member Information:
Special Events:
Confirmation: ___ / ___ / ______
First Name:
_______________
Location: _______________________
Birth: ___ / ___ / _______
Middle Name: _______________
Church: ________________________
Location:
Last Name:
_______________
Pastor: _________________________
___________________________
Preferred Name:_______________
___________________________
Maiden Name: _______________
Records/Membership at:
_______________________________
Ethnic Origin: _______________
Baptism: ___ / ___ / ______
_______________________________
Primary Language: ____________
Location: ________________________
Secondary Language: __________
Denomination: __________________
Church: _________________________
Employment: _________________
Would you like your membership transferred to
Pastor: __________________________
______
Work Phone:
_______________
Christ Church?
Sponsor: ________________________
Cell Phone:
_______________
Sponsor: ________________________
Email Address:
____________________________
Family Member Information:
Special Events:
Confirmation: ___ / ___ / ______
First Name:
_______________
Location: _______________________
Birth: ___ / ___ / _______
Middle Name: _______________
Church: ________________________
Location:
Last Name:
_______________
Pastor: _________________________
___________________________
Preferred Name:_______________
___________________________
Maiden Name: _______________
Records/Membership at:
_______________________________
Ethnic Origin: _______________
Baptism: ___ / ___ / ______
_______________________________
Primary Language: ____________
Location: ________________________
Secondary Language: __________
Denomination: __________________
Church: _________________________
Employment: _________________
Would you like your membership transferred to
Pastor: __________________________
Work Phone:
_______________
______
Christ Church?
Sponsor: ________________________
Cell Phone:
_______________
Sponsor: ________________________
Email Address:
______________________________
Revised: June 2005
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