First Name
Last Name
Single
Married
Single Again
Widowed
Address
Home Phone
Cell Phone
Business Phone
Email Address
Date of Birth
Yes
No
Date and Location Baptized
Spouse Name
Spouse's Date of Birth
Spouse Email
Spouse Business Phone
Spouse Cell Phone
If so please list date & location of baptism
Have you regularly attended church elsewhere? If so, please list church
Please indicate that you (and spouse, if applicable) gladly and willingly submit to the guidance and leadership of the Elders of First Colony Church of Christ.
CHILDREN'S INFORMATION (if applicable)
Child's Name
Child's Date of Birth
Name of Child's School & Current Grade Level
Date of Child's Baptism (if applicable)
2nd Child's Name
2nd Childs Date of Birth
2nd Child's Date of Baptism (if applicable)
2nd Child's School & Current Grade Level
3rd Child's Date of Birth
3rd Child's School and Current Grade Level
3rd Child's Name
3rd Child's Date of Baptism (if applicable)
Please add any additional children information or other comments here
PLEASE UPLOAD A PHOTO OF YOURSELF HERE (Portrait Headshot for database)
If you do not have a photo to upload, please list the Sunday morning you prefer to schedule having your photo taken at the building. NOTE: We must have a photo of you to complete your membership process.
Enter Security Characters below before you click Submit
If you have any problems submitting your registration form contact Josh Diggs at the church office at (281) 980-7070 or at joshd@firstcolonychurch.org