Information provided will be used in the Church Directory and to update Gethsemane’s Electronic Church Roster.  Kindly complete all questions on this form.  Give the completed form to a Church Clerk.  Thank you!

  • Contact Information

  • Date Format: MM slash DD slash YYYY
  • Additional Household Members

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Other Household Member Types

  • Please list full name, relationship, membership status, email, date of birth, and phone number.