Which Service Will You Attend?
*
Saturday, May 6 - 5:00 pm
Sunday, May 7 - 8:30 am
Sunday, May 7 - 10:30 am
Online only
Household Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
School District
Please Provide The Names Of any Family Members NOT joining POP At This Time
Are You Transferring Your Membership From Another Church?
Yes
No
Church Address (For Transfer)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Would You Like To Be Included On The Following Email Subscription Lists?
As new members of POP, you will automatically be added to our weekly Connection Point and general Announcement email distribution lists. You can unsubscribe at any time to any of these lists.
Adult 1 Name
*
First Name
Last Name
Adult 1 Maiden Name (If Applicable)
Adult 1 Preferred Name (If Applicable)
Adult 1 Marital Status
*
Adult 1 Gender
*
Adult 1 Date Of Birth
MM
DD
YYYY
Adult 1 Email Address
Adult 1 Preferred Email Type
Personal
Work
Home
Adult 1 Phone #
(###)
###
####
Adult 1 Phone Type
*
Mobile
Home
Work
Are You able To Receive Text Messages On Your Primary Phone?
*
Yes
No
Adult 1 Secondary Phone Number
(###)
###
####
Adult 1 Secondary Phone Number Type
Mobile
Home
Work
Adult 1: Are you able to receive text messages to your secondary phone number?
Yes
No
Adult 1 Date of Baptism
*
NOTE: If Adult 1 has not been baptized, please contact a pastor about baptism. If you do not remember exactly when baptism occurred, pick the closest date.
MM
DD
YYYY
Adult 1 Date of Confirmation (If Applicable)
MM
DD
YYYY
Adult 1 Date of Marriage (If Applicable)
MM
DD
YYYY
Adult 1 Race
choose all that apply
Adult 1 Education(If applicable: School, Degree)
Adult 1 Occupation
Adult 1 Place of Employment
Adult 1: Briefly describe your faith journey (e.g. did you grow up in a life of Christian faith, have you been previously active in a Christian community?)
Adult 1: I would like to learn more about the following ministries at Prince of Peace:
At any time, please contact our Director of Ministry and Director of Youth & Family Mission to learn more and to get connected with ministry opportunities at POP. We encourage everyone at POP to find a group to live in community with others and to join a team to together serve as the body of Christ.
Adult 1: What are your hobbies and passions?
Adult 2 Name
First Name
Last Name
Adult 2 Maiden Name (if applicable)
Adult 2 Preferred Name (if applicable)
Adult 2 Marital Status
Adult 2 Gender
Adult 2 Date of Birth
MM
DD
YYYY
Adult 2 Email Address
Adult 2 Preferred Email Type
Personal
Work
Home
Adult 2 Phone Number
(###)
###
####
Adult 2 Phone Type
Mobile
Home
Work
Are You Able To Receive Text Messages On This Phone?
Yes
No
Adult 2 Secondary Phone
(###)
###
####
Adult 2 Secondary Phone Type
Mobile
Home
Work
Adult 2 Are You Able To Receive Text Messages On This Number?
Yes
No
Adult 2 Date Of Baptism
NOTE: If Adult 2 has not been baptized, please contact a pastor about baptism. If you do not remember exactly when baptism occurred, pick the closest date.
MM
DD
YYYY
Adult 2 Date of Confirmation (If Applicable)
MM
DD
YYYY
Adult 2 Date of Marriage (If Applicable)
MM
DD
YYYY
Adult 2 Race
choose all that apply
Adult 2 Education(If applicable: School, Degree)
Adult 2 Place of Employment
Adult 2: Briefly describe your faith journey (e.g. did you grow up in a life of Christian faith, have you been previously active in a Christian community?)
Adult 2: I would like to learn more about the following ministries at Prince of Peace:
At any time, please contact our Director of Ministry and Director of Youth & Family Mission to learn more and to get connected with ministry opportunities at POP. We encourage everyone at POP to find a group to live in community with others and to join a team to together serve as the body of Christ.
Adult 2: What are your hobbies and passions?
Child 1 Name
First Name
Last Name
Child 1 Preferred Name
Is Child 1's Mailing Address Different Than The Family Address?
No
Yes
If Yes, What is The Address?
Child 1 Gender
Child 1 Birthdate
MM
DD
YYYY
Child 1 Date of Baptism
If your child has not yet been baptized, please contact a pastor to speak about planning for baptism.
MM
DD
YYYY
Has Child 1 been instructed in First Communion?
Yes
No
Child 1 Date of Confirmation (if applicable)
MM
DD
YYYY
Child 1 Current School
Child 1 Current Grade
PreK 3/yo
PreK 4/yo
PreK 5/yo
K
1
2
3
4
5
6
7
8
9
10
11
12
Child 1 Race
choose all that apply
Child 1 Email (if applicable)
Child 1 Phone Number (if applicable)
(###)
###
####
Child 2 Name
First Name
Last Name
Child 2 Preferred Name (if applicable)
Is Child 2's Mailing Address Different Than The Family Address?
No
Yes
If Yes, What is The Address?
Child 2 Gender
Child 2 Birthdate
MM
DD
YYYY
Child 2 Date of Baptism
If your child has not yet been baptized, please contact a pastor to speak about planning for baptism.
MM
DD
YYYY
Has Child 2 been instructed in First Communion?
Yes
No
Child 2 Date of Confirmation (if applicable)
MM
DD
YYYY
Child 2 Current School
Child 2 Current Grade
PreK 3/yo
PreK 4/yo
PreK 5/yo
K
1
2
3
4
5
6
7
8
9
10
11
12
Child 2 Race
choose all that apply
Child 2 Email (if applicable)
Child 2 Phone Number (if applicable)
(###)
###
####
Child 3 Name
First Name
Last Name
Child 3 Preferred Name (if applicable)
Is Child 3's Mailing Address Different Than The Family Address?
No
Yes
If Yes, What is The Address?
Child 3 Gender
Child 3 Birthdate
MM
DD
YYYY
Child 3 Date of Baptism
MM
DD
YYYY
Has Child 3 been instructed in First Communion?
Yes
No
Child 3 Date of Confirmation (if applicable)
MM
DD
YYYY
Child 3 Current School
Child 3 Current Grade
PreK 3/yo
PreK 4/yo
PreK 5/yo
K
1
2
3
4
5
6
7
8
9
10
11
12
Child 3 Race
choose all that apply
Child 3 Email (if applicable)
Child 3 Phone Number (if applicable)
(###)
###
####
Child 4 Name
First Name
Last Name
Child 4 Preferred Name (if applicable)
Is Child 4's Mailing Address Different Than The Family Address?
No
Yes
If Yes, What is The Address?
Child 4 Gender
Child 4 Birthdate
MM
DD
YYYY
Child 4 Date of Baptism
MM
DD
YYYY
Has Child 4 been instructed in First Communion?
Yes
No
Child 4 Date of Confirmation (if applicable)
MM
DD
YYYY
Child 4 Current School
Child 4 Current Grade
PreK 3/yo
PreK 4/yo
PreK 5/yo
K
1
2
3
4
5
6
7
8
9
10
11
12
Child 4 Race
choose all that apply
Child 4 Email (if applicable)
Child 4 Phone Number (if applicable)
(###)
###
####
