Membership Information

Please help us update the membership directory. You do not need to be a member to be added to the database. We would love to connect with you.

Full Name

*

Email

*

This address will receive a confirmation email

Cell Phone

*

Home Phone

Address

*

Please list additional family members in your household with phone numbers and emails

*

Family Information

First Name

*

Last Name

*

Middle Name

Maiden Name

Nick Name

Family Relation

*

Please select one option.

Head of Household Spouse Adult Child

Date of Birth

First Name 2

Last Name 2

Middle Name

Maiden Name

Nick Name

Family Relation

Please select one option.

Head of Household Spouse Adult Child

Date of Birth

Please list all children in your household, first name and last name

Please list all children in the household along with Date of Birth

Church Information

Membership information

*

Please select one option.

Member of HHUMC Attend Regularly Visitor

Please list each member of your household with church membership date.

Please list all members in your house hold with Baptism Date

Description

Please help us update the membership directory. You do not need to be a member to be added to the database. We would love to connect with you.

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