Intent to Join Form

We're so glad you're here.

Please fill out this form and click submit.

We’re so excited that you want to join Wildflower Church! To become a member, you agree to the following:

I will participate in the life of the church;

I will attend a Wildflower Orientation to learn more about the history and life of the church;

I will make an identifiable contribution of money and pledge support for the current year; and

I will sign the Membership Book.

About You

Name

Pronouns

Please select all that apply.

She/Her He/Him They/Them

Birthdate

Ethnic or racial identity

Gender identity

Photo of You

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Your Contact Information

Include your email address in the church directory?

Please select one option.

Yes No

Phone

Include your phone number in the church directory?

Please select one option.

Yes No

Address

Include your address in the church directory?

Please select one option.

Yes No

Emergency Contact Information

Name

Phone Number

About Your Household

Please tell us about your family.

Names of other adult(s) in your household

Please tell us about the children who live with you.

Only people over 16 can join as members and must sign an intent to join form, but please include the names and ages of all of your children.

Child(ren) Full Name & Birthday(s)

Are you interested in registering a child or children for childcare or for the Children & Youth Religious Education (CYRE) program? Select

Please select all that apply.

Childcare CYRE

Please Sign Below

Your full name

Today's Date

Description

We're so glad you're here.

Please fill out this form and click submit.

Intent to Join Form

Description

Please Fix the Following