All Saints Church

Exploring Membership, Winter 2010 Registration

EXPLORING MEMBERSHIP REGISTRATION, WINTER 2010

1.

Please fill out the following information:

* Name:

First	Middle	Last	Suffix

* Email:

* Street 1:

* City/State/Zip

City	State	Zip

Phone Number:

Employer:

Occupation:

Gender:

* Date of Birth:

Month

Day

Year

Yes, I would like to receive e-mail from All Saints Church

Yes, I would like to receive postal mail from All Saints Church

2.

I prefer to be called:

3.

Significant Other First Name:

4.

Significant Other Last Name:

5.

Is there someone (significant other, friend) with whom you would like to be in a small group?

6.

Do you have children at home?
Yes
No

7.

What ages?

8.

From which church or religious tradition(s) do you come?

9.

Have you been baptized?
Yes
No

10.

In which denomination?

11.

Have you been confirmed?
Yes
No

12.

In which denomination?

13.

How long have you been at All Saints Church??
1 year
1 - 2 years
2 - 5 years
5+ years

14.

Please tell us of your expectations for the class:

Childcare will be provided but parents must make reservations.
To do so, please call 626.583.2781.

All Saints Church, 132 N. Euclid Avenue, Pasadena 91101
Tel 626.796.1172 Fax 626.796.4749
Visit us on the web at www.allsaints-pas.org.

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