Skip to content
Changing Lives with Faith, Hope, and Love 189 Church Street | Marietta, Georgia 30060 | (770) 427-0293
Home
About Us
Staff
Gallery
Job Opportunities
Contact Us
Give
New Here
Worship
Virtual Worship
Funerals/Memorials
Events
Get Involved
Adults
Young Adults
Youth
Children
Music & Fine Arts
Volunteer
Club 3:30
Care & Support
My Handy Friend
Stephen Ministry
Need Food? Necesitas Comida?
Preschool
Parents Day Out
Members
Realm
New Members
Facilities Forms
Memorial Garden
Search for:
Home
About Us
Staff
Gallery
Job Opportunities
Contact Us
Give
New Here
Worship
Virtual Worship
Funerals/Memorials
Events
Get Involved
Adults
Young Adults
Youth
Children
Music & Fine Arts
Volunteer
Club 3:30
Care & Support
My Handy Friend
Stephen Ministry
Need Food? Necesitas Comida?
Preschool
Parents Day Out
Members
Realm
New Members
Facilities Forms
Memorial Garden
Member Information Form
Kelly Dewar
2023-04-14T13:57:29+00:00
Welcome to FPC!
Member Information Form
Primary Contact
Full Name
(Required)
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev.
Prefix
First
Middle
Last
Suffix
I
II
III
IV
Jr.
Sr.
PhD
Goes by Name
(Required)
First
Date of Birth
(Required)
MM slash DD slash YYYY
Gender
(Required)
Male
Female
Preferred Email
(Required)
Home Phone
Cell Phone
Preferred Phone
(Required)
Home
Cell
Are you working or retired?
(Required)
Working
Retired
In what year did you retire?
Former Occupation
Occupation
Employer
If the Primary Contact has been ordained as Elder in the Presbyterian Church (USA), please list years of service and church of ordination below:
If the Primary Contact has been ordained as Deacon in the Presbyterian Church (USA), please list years of service and church of ordination below:
Though the following question is optional, we are required each year to submit the demographic information of our membership to Cherokee Presbytery in our annual report: How does the Primary Contact identify?
(Required)
African
African American
Asian
Black
Hispanic/Latino
Middle Eastern
Native American
White
Other
Please check all areas of interest to help FPC connect you to appropriate ministry areas:
(Required)
Adult Discipleship (Sunday School/Bible Studies)
Children's Ministry
Church History
Communications
Congregational Care
Congregational Life & Fellowship
Dinner & Wine Groups
Finance
Flower Guild
Funeral Guild
Greater Church/Community Involvement
Meals & Food
Membership Engagement
Missions/Outreach
Music & Fine Arts
Presbyterian Women
Property Care & Maintenance
Reading/Book Club
Safety & Security
Senior (65+) Activities
Stephen Ministry
Technology
Visitor Engagement
Worship Preparation
Writing/Writers' Group
Young Adult Ministry
Youth Ministry
Other
How would you like to receive our monthly newsletter? (Hard copies are always available on campus.)
(Required)
Email
Mail
Both mail and email
I'm joining by:
(Required)
Profession of Faith
Transfer of Membership
Restoration of Membership
If you are transferring your membership from another church, please give us the name, city, and state of your current church.
(Required)
Marital Status
(Required)
Single
Married
Widowed
Separated
Divorced
Domestic Partner
Decline to Answer
Would you like to add a Spouse/Partner to this form?
(Required)
Yes
No
Spouse/Partner
Full Name
(Required)
Dr.
Miss
Mr.
Mrs.
Ms.
Rev.
Rev. Dr.
Prefix
First
Middle
Last
Suffix
I
II
III
IV
Jr.
Sr.
PhD
Goes by Name
(Required)
First
Date of Birth
(Required)
MM slash DD slash YYYY
Gender
(Required)
Male
Female
Preferred Email
(Required)
Home Phone
Cell Phone
Preferred Phone
(Required)
Home
Cell
Are you working or retired?
(Required)
Working
Retired
In what year did you retire?
Former Occupation
Occupation
Employer
If the Spouse/Partner has been ordained as Elder in the Presbyterian Church (USA), please list years of service and church of ordination below:
If the Spouse/Partner has been ordained as Deacon in the Presbyterian Church (USA), please list years of service and church of ordination below:
Though the following question is optional, we are required each year to submit the demographic information of our membership to Cherokee Presbytery in our annual report: How does the Spouse/Partner identify?
African
African American
Asian
Black
Hispanic/Latino
Middle Eastern
Native American
White
Other
Please check all areas of interest to help FPC connect you to appropriate ministry areas:
(Required)
Adult Discipleship (Sunday School/Bible Studies)
Children's Ministry
Church History
Communications
Congregational Care
Congregational Life & Fellowship
Dinner & Wine Groups
Finance
Flower Guild
Funeral Guild
Greater Church/Community Involvement
Meals & Food
Membership Engagement
Missions/Outreach
Music & Fine Arts
Presbyterian Women
Property Care & Maintenance
Reading/Book Club
Safety & Security
Senior (65+) Activities
Stephen Ministry
Technology
Visitor Engagement
Worship Preparation
Writing/Writers' Group
Young Adult Ministry
Youth Ministry
How would you like to receive our monthly newsletter? (Hard copies are always available on campus.)
Email
Mail
Both mail and email
I'm joining by:
(Required)
Profession of Faith
Transfer of Membership
Restoration of Membership
If you are transferring your membership from another church, please give us the name, city, and state of your current church or N/A if no current church.
(Required)
Household
Home Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Please list any relatives (aside from those in your household) who are also members of FPC? Include their relationship to you.
Add
Remove
Why did you choose FPC as your church home?
(Required)
Photo/Video Release
(Required)
I recognize that, as a member of FPC, photographs and video of my family and me may be used for publicity purposes. Please contact Director of Communications KellyDewar@fpcmarietta.org with questions.
Would you like to add children to this form?
(Required)
Yes
No
Children
Child 1
(Required)
First
Middle
Last
Suffix
I
II
III
IV
Jr.
Does this child live at home?
(Required)
Yes
No
Date of Birth
(Required)
MM slash DD slash YYYY
Has this child been baptized?
(Required)
Yes
No
Date of Baptism
MM slash DD slash YYYY
Gender
Male
Female
School/Grade Level
Preferred Email
Cell Phone
Would you like to add a second child to this form?
Yes
No
Child 2
(Required)
First
Middle
Last
Suffix
I
II
III
IV
Jr.
Does this child live at home?
(Required)
Yes
No
Date of Birth
(Required)
MM slash DD slash YYYY
Has this child been baptized?
(Required)
Yes
No
Date of Baptism
MM slash DD slash YYYY
Gender
(Required)
Male
Female
School/Grade Level
Preferred Email
Cell Phone
Would you like to add a third child to this form?
Yes
No
Child 3
(Required)
First
Middle
Last
Suffix
I
II
III
IV
Jr.
Does this child live at home?
(Required)
Yes
No
Date of Birth
(Required)
MM slash DD slash YYYY
Has this child been baptized?
(Required)
Yes
No
Date of Baptism
MM slash DD slash YYYY
Gender
(Required)
Male
Female
School/Grade Level
Preferred Email
Cell Phone
Would you like to add a fourth child to this form?
Yes
No
Child 4
(Required)
First
Middle
Last
Suffix
I
II
III
IV
Jr.
Does this child live at home?
(Required)
Yes
No
Date of Birth
(Required)
MM slash DD slash YYYY
Has this child been baptized?
(Required)
Yes
No
Date of Baptism
MM slash DD slash YYYY
Gender
(Required)
Male
Female
School/Grade Level
Preferred Email
Cell Phone
Would you like to add a fifth child to this form?
Yes
No
Child 5
(Required)
First
Middle
Last
Suffix
I
II
III
IV
Jr.
Does this child live at home?
(Required)
Yes
No
Date of Birth
(Required)
MM slash DD slash YYYY
Has this child been baptized?
(Required)
Yes
No
Date of Baptism
MM slash DD slash YYYY
Gender
(Required)
Male
Female
School/Grade Level
Preferred Email
Cell Phone
Δ
FOLLOW US
Page load link
Go to Top
