To Return to Main Menu Please Click Here: MAIN MENU

 

CONGREGATIONAL CHURCH OF BOCA RATON, FLORIDA

   

 

 

            251 SW Fourth Avenue

            Boca Raton, FL 33432

            561-395-9255

            office@churchofboca.org

 

 

 

 

Dear Friend:

 

Forms can often be so cold! Yet, this is a good way to first get to know you and your needs and interests. If you have any questions

in filling out this form, do not hesitate to personally phone me.

 

Pastor Tom Lacey

 

 

ON LINE MEMBERSHIP INFORMATION FORM

INSTRUCTIONS:

  1. Please fill out a complete and separate form for each individual
  2. Use your "TAB" key to move from field to field. Use the "ENTER" key only within a multiple line field
  3. It is not necessary to enter the year for your birthday or anniversary
  4. When finished, please enter the "SUBMIT FORM" button at the bottom

Thank you very much.

How do you want your family mail to be addressed?

Title  
Name
Street Address
Apartment #
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
Family E-mail

Name of Development, Complex or Subdivision where you live:

        Major intersection near your home:

Do You Have An Alternate Address (i.e., Summer Address)?
    (It so, please overwrite the following boxes) and indicate here which months you are away from South Florida:

Alternate Address
Apartment #
City
State/Province
Zip/Postal Code

 

Information About You

Personal Title  
First Name
Last Name
Cell Phone
E-mail

My Marital Status: 

My Personal Status: 

 

For the Church's Birthday/Anniversary Calendar

Birthday 
Anniversary 

Other Information:

Employer (or former):

Spouse's Name and Birthday, if not joining:

Names of Children living at Home and their Date of Birth:

My Native State is    I/We moved here from

I/We have lived in this area for    I moved here because

 

How do you want to join this church? (Please select only one from the following list)

I am joining as a full member and not transferring from another church
I am joining as an "Associate Member" and will retain primary membership in another church
I am joining by transfer from another church. Please send for my transfer from:

 

Please write a Brief paragraph about yourself for the Sunday Bulletin and Newsletter so your new church family may know you better:

My Interest Areas (Please check as many as apply)

Bible Study     Women's Fellowship     Choir     Bell Choir     Instrumentalist     Sunday School/Youth Group Work
Usher, Greeter     Coffee Hour Host     Altar Flowers     Nursery Attendant/Helper     Discussion Groups
I Need Offering Envelopes     Memorial Gift     Office Help     Repair/Maintenance Person     Committee/Council Work
Missions     OTHER (please specify):

  To Return to Main Menu Please Click Here: MAIN MENU

2007 [001A]
Revised: 10/10/07