Become a Member Form

Name

Name as you want it on your permanent nametag

Pronouns

Include on nametag

Yes

Birth Date

Address

Email Address

Would you like to receive our weekly newsletter via email?

Yes

I already do!

Twice a year, we email a church directory to all church members and friends. If there is any information you would prefer NOT to have published in this directory, please select it below

Address

Pronouns

Home Phone

Mobile Phone

Work Phone

Preferred Phone

Preferred Phone Type

Mobile

Home

Work

Alternate Phone

Alternate Phone Type

Mobile

Home

Work

Employer

Occupation

Name of Partner (if applicable)

Is your partner joining?

Yes

If not, include in directory?

Yes

Children living at home – names and birth dates (if applicable)

Church activities currently involved in

I would like to learn more about (please select all that apply)

Spiritual deepening through classes and/or small groups

Social and community activities to get to know more people with similar interests

Social justice efforts by this church

Ways to contribute to this church community by serving on a board, council, committee or team

Say more about your particular interests (optional)

Hospitality Team Preference

9:15 a.m. service

11 a.m. service

where needed

New member ceremony you will be attending

Sunday, Novermber 3, 2019 - 9:15 a.m

Sunday, Novermber 3, 2019 - 11 a.m

Sunday, April/May 2020 (date to be determined) - 9:15 a.m

Sunday, April/May 2020 (date to be determined) -11 a.m

First Unitarian Photo release Form

Please include ALL family members attending First Unitarian Church. For each, write YES or NO

If “Yes” is noted above, I hereby authorize First Unitarian Church of Des Moines to publish the photographs taken of me or my child for use in the church’s printed publications, brochures and website. I acknowledge that since my participation is voluntary, I will receive no financial compensation. I release First Unitarian Church, its members and its employees from liability for any claims by me or any third party in connection with my participation.

Yes

First Unitarian Photo release Form

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