New Member Registration Name * First Name Last Name Email * Phone * (###) ### #### Information Release * I give permission for my Name, Email, and Phone number to be used in a member's only directory. Yes No Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth We use this to send birthday cards! MM DD YYYY Baptized * Yes No Married Yes No Education/Degree & School Occupation/Job Title Membership Information * Received by: Letter of Transfer Reaffirmation of Faith Baptism Confirmation/Affirmation of Faith If you are being received by letter of transfer, please provide the name of the church from which you will be transferred, its address, and its pastor's name. Family Information Include names of spouse/partner, children's names, ages, and baptism status Emergency Contact Information Name, phone number, relationship How did you hear about FPCEH? Friend/Family/Google/Live or Work in East Hampton Thank you!
