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Help us keep our records up to date!

If your information we have regarding your membership has changed, please fill in the following form. We appreciate your help in keeping our records up-to-date. If you are registering as a couple, please use only one form.

First Name: Initial:
Last Name:
Gender:   Male    Female 
Date of your birth:
Date of your baptism:
Your Occupation:
Address:
City:    State:
Zip:
Primary Phone:
Work Phone:
Mobile Phone:
Email Address Home:
Email Address Work:
Marital Status:  Married   Single   Separated
Date of Marriage:
Spouse's Name:
Date of spouse's birth:
Date of spouse's baptism:
Spouse's Occupation:
Child 1:
Date of Birth:
Child 2:
Date of Birth:
Child 3:
Date of Birth:
Child 4:
Date of Birth:
Child 5:
Date of Birth:
Child 6:
Date of Birth:


Comment or instructions:

 

First United Methodist Church    200 W. High St.   Lexington, KY  40507   859-233-0545