Membership Request Online

First United Methodist Church
812 Kirkman Street, Lake Charles, Louisiana 70601
(337) 436-6656

Head of Household
Name: Address:
City, State, Zip: Home Phone:
Work Phone : Cell Phone:
Employer: Occupation:
Date of Birth: Marital Status:
Email Address:
Have you been baptized?:

- Yes
- No
- Unsure

If yes, where? :
Intention of Membership : - I am professing my faith for the first time as a Christian.
- I am transferring my membership from another Methodist Church.
- I am transferring my membership from another denomination.
If transferring membership, from where?:
I intend to become a member of this church family. I understand that membership includes my prayers, my presence, my gifts, and my time.
Typing my name here indicates my signature:
Partner
Name: Address:
City, State, Zip: Home Phone:
Work Phone : Cell Phone:
Employer: Occupation:
Date of Birth: Marital Status:
Email Address:
Have you been baptized?:

- Yes
- No
- Unsure

If yes, where? :
Intention of Membership : - I am professing my faith for the first time as a Christian.
- I am transferring my membership from another Methodist Church.
- I am transferring my membership from another denomination.
If transferring membership, from where?:
I intend to become a member of this church family. I understand that membership includes my prayers, my presence, my gifts, and my time.
Typing my name here indicates my signature:
Dependents
Name: Gender?: - Male
- Female
Date of Birth: School:
Grade: Email Address :
Has s/he been baptized?:

- Yes
- No
- Unsure

If yes, where?:
Has s/he been confirmed?:

- Yes
- No
- Unsure

If yes, where?:
Name: Gender?: - Male
- Female
Date of Birth: School:
Grade: Email Address :
Has s/he been baptized?:

- Yes
- No
- Unsure

If yes, where?:
Has s/he been confirmed?:

- Yes
- No
- Unsure

If yes, where?:
Name: Gender?: - Male
- Female
Date of Birth: School:
Grade: Email Address :
Has s/he been baptized?:

- Yes
- No
- Unsure

If yes, where?:
Has s/he been confirmed?:

- Yes
- No
- Unsure

If yes, where?:
Name: Gender?: - Male
- Female
Date of Birth: School:
Grade: Email Address :
Has s/he been baptized?:

- Yes
- No
- Unsure

If yes, where?:
Has s/he been confirmed?:

- Yes
- No
- Unsure

If yes, where?:
  - Clicking Submit will email the form to Melinda Losey.