Decatur Presbyterian Church Membership Enrollment Form

Interested in becoming a member of DPC? We’re thrilled that you would consider making us your church home! The process for becoming a new member is simple and begins by completing the form below. Please complete the fields and submit, then we will contact you to discuss what’s next!

Decatur Presbyterian Church Membership Enrollment Form

Please complete all information (Required fields indicated by asterisk)

Prefix
Name*
First Middle Last
Preferred Name

If different than first name
Date of Birth*
Month
Day
Year
Date of Baptism (if applicable)
Month
Day
Year
Preferred Sunday to Join DPC
MM slash DD slash YYYY

We recommend choosing the third Sunday of a month, but will honor other Sundays if preferred.
Marital Status
- Single
- Married
- Divorced
- Widowed
- Domestic Partnership
Race/Ethnicity
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Preferred Email
Occupation
Employer
Business Phone
Do we have your permission to send church information emails to this email address?
- Yes
- No
Family Information
Relation Name Birth Date Baptism Date (If applicable) Current School Grade (for children) Church Affiliation

Click the "+" sign to add rows as needed
I am joining DPC by...*
- Transfer of Letter
- Reaffirmation of Faith
- Profession of Faith & Baptism
- Affiliate Membership
Are you currently a member of a church?*
- Yes
- No
Are you an Ordained Elder PC(USA)?*
- Yes
- No
Name of Previous Church (If applicable)
Address of Previous Church (If applicable)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How did you hear about DPC?
- Friend or Family
- Walk-in
- Website/Social Media
- Other

Membership Enrollment Form

Decatur Presbyterian Church Membership Enrollment Form

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Relation	Name	Birth Date	Baptism Date (If applicable)	Current School Grade (for children)	Church Affiliation