Thank you for registering your attendance today! Name* First Last How many are worshiping with you (including yourself)?*First-time attending a Lynn Haven UMC service? Yes No Welcome! We are so glad you are here. If you are attending in person, please stop by the Welcome Desk in the Lobby for a free gift from our church family! We would also love to connect with you and answer any questions you might have. Please share your preferred phone or email below and someone from our team will be in touch. I/We attended ...* In-Person Sunday at 8 am In-Person Sunday at 9:30 am Online Worship Prayer Requests/Praises Share with Pastoral Staff Only (confidential) Share with Prayer Team Prayer Requests:I would like more information about... Joining the Church Baptism/Salvation Small Groups Ways I Can Serve Children and Student Ministries Communications Preferences (Optional) Please sign me up for LHUMC's weekly E-Newsletter Please add me to LHUMC's church-wide text updates Email* Cell Phone Number*Comments: HiddenMembership Information UpdateThese additional questions are for Lynn Haven UMC member households. We are in the process of updating addresses and other records. We are asking that one representative of each household complete the following questions. If you have already submitted your updates or if you are a guest, you can just skip these questions. All information is voluntary. Responses will be utilized to update our membership records database and will not be shared or released for any purpose. HiddenName of Member Completing Form Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Suffix HiddenHousehold Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code HiddenGender (of member completing form) Male Female HiddenDate of Birth (of member completing form)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920HiddenPreferred Email (of member completing form) HiddenPreferred Phone (of member completing form)HiddenType of Phone Mobile Home Work HiddenEmergency ContactPlease provide the name and phone number of who we should contact in case of an emergency. HiddenAdditional Household MembersPlease list Name, Date of Birth, Gender and Household Position for all household members. For adult members of the household, please also include phone number and email address. Example: Joy Smith, 12/12/16, Female, Child Δ
