Church Family Registry

Periodically our church records need to be verified.
 
It is particularly important at this time since we are now re-entering
ALL of our current membership information into a NEW computer database program.

March, 2003
 Each of our present church families
must complete this entire form at this time
to continue to receive
future monthly Harbinger and other mailings
and/or yearly giving summaries

Family Unit Information:
LAST NAME:
 		    STREET ADDRESS:
CITY:
 		STATE:
 		ZIP CODE:
 		PHONE (Area Code-Number):
 		OFFERING ENVELOPE NUMBER:

 

Head of Household:
FIRST NAME:
 		    E-MAIL ADDRESS:
BIRTH DATE: ( Month~Day~Year )
 		Complete Date Please
We will NOT publish year or age 		MARITAL STATUS:
 		WEDDING DATE (Month~Day~Year):
OCCUPATION:
 		EMPLOYER:
 		WORK PHONE: (Area Code / Number)
SOUTH SIDE CHURCH RELATIONSHIP:
 		    BIBLE SCHOOL CLASS:
 		        WORSHIP SERVICE:
DATE BAPTIZED (Month~Day~Year):
 		    DATE JOINED SOUTH SIDE (Month~Day~Year):
    By Baptism     By Transfer     ?
MINISTRY TEAM INVOLVEMENT  (Choir, Missions, etc.):
 		        LEADERSHIP POSITIONS:
OTHER RELATIONSHIPS WITHIN THE SOUTH SIDE CHRISTIAN CHURCH FAMILY  (Mother of .., etc)
ANYTHING ELSE WE SHOULD KNOW?

 

Spouse:
FIRST NAME:
 		    E-MAIL ADDRESS:
BIRTH DATE: ( Month~Day~Year )
 		Complete Date Please
We will NOT publish year or age
OCCUPATION:
 		EMPLOYER:
 		WORK PHONE: (Area Code / Number)
SOUTH SIDE CHURCH RELATIONSHIP:
 		    BIBLE SCHOOL CLASS:
 		        WORSHIP SERVICE:
DATE BAPTIZED (Month~Day~Year):
 		    DATE JOINED SOUTH SIDE (Month~Day~Year):
    By Baptism     By Transfer     ?
MINISTRY TEAM INVOLVEMENT  (Choir, Missions, etc.):
 		        LEADERSHIP POSITIONS:
OTHER RELATIONSHIPS WITHIN THE SOUTH SIDE CHRISTIAN CHURCH FAMILY  (Mother of .., etc)
ANYTHING ELSE WE SHOULD KNOW?

 

Child #1:
FIRST NAME:
 		    E-MAIL ADDRESS:
BIRTH DATE: ( Month~Day~Year )
 		                            LAST NAME:   ( Only necessary if different )
SCHOOL ATTENDING:
 		GRADE:
SOUTH SIDE CHURCH RELATIONSHIP:
 		    BIBLE SCHOOL CLASS:
 		        WORSHIP SERVICE:
DATE BAPTIZED (Month~Day~Year):
 		    DATE JOINED SOUTH SIDE (Month~Day~Year):
    By Baptism     By Transfer     ?
MINISTRY TEAM INVOLVEMENT  (Choir, Missions, etc.):
 		       
ANYTHING ELSE WE SHOULD KNOW?

 

Child #2:
FIRST NAME:
 		    E-MAIL ADDRESS:
BIRTH DATE: ( Month~Day~Year )
 		                            LAST NAME:   ( Only necessary if different )
SCHOOL ATTENDING:
 		GRADE:
SOUTH SIDE CHURCH RELATIONSHIP:
 		    BIBLE SCHOOL CLASS:
 		        WORSHIP SERVICE:
DATE BAPTIZED (Month~Day~Year):
 		    DATE JOINED SOUTH SIDE (Month~Day~Year):
    By Baptism     By Transfer     ?
MINISTRY TEAM INVOLVEMENT  (Choir, Missions, etc.):
 		       
ANYTHING ELSE WE SHOULD KNOW?

 

Child #3:
FIRST NAME:
 		    E-MAIL ADDRESS:
BIRTH DATE: ( Month~Day~Year )
 		                            LAST NAME:   ( Only necessary if different )
SCHOOL ATTENDING:
 		GRADE:
SOUTH SIDE CHURCH RELATIONSHIP:
 		    BIBLE SCHOOL CLASS:
 		        WORSHIP SERVICE:
DATE BAPTIZED (Month~Day~Year):
 		    DATE JOINED SOUTH SIDE (Month~Day~Year):
    By Baptism     By Transfer     ?
MINISTRY TEAM INVOLVEMENT  (Choir, Missions, etc.):
 		       
ANYTHING ELSE WE SHOULD KNOW?

 

Child #4:
FIRST NAME:
 		    E-MAIL ADDRESS:
BIRTH DATE: ( Month~Day~Year )
 		                            LAST NAME:   ( Only necessary if different )
SCHOOL ATTENDING:
 		GRADE:
SOUTH SIDE CHURCH RELATIONSHIP:
 		    BIBLE SCHOOL CLASS:
 		        WORSHIP SERVICE:
DATE BAPTIZED (Month~Day~Year):
 		    DATE JOINED SOUTH SIDE (Month~Day~Year):
    By Baptism     By Transfer     ?
MINISTRY TEAM INVOLVEMENT  (Choir, Missions, etc.):
 		       
ANYTHING ELSE WE SHOULD KNOW?

 

Child #5:
FIRST NAME:
 		    E-MAIL ADDRESS:
BIRTH DATE: ( Month~Day~Year )
 		                            LAST NAME:   ( Only necessary if different )
SCHOOL ATTENDING:
 		GRADE:
SOUTH SIDE CHURCH RELATIONSHIP:
 		    BIBLE SCHOOL CLASS:
 		        WORSHIP SERVICE:
DATE BAPTIZED (Month~Day~Year):
 		    DATE JOINED SOUTH SIDE (Month~Day~Year):
    By Baptism     By Transfer     ?
MINISTRY TEAM INVOLVEMENT  (Choir, Missions, etc.):
 		       
ANYTHING ELSE WE SHOULD KNOW?

 

Submitted by:   (VISITOR NAME)
 
E-mail address:  
 
 

Logo of South Side Christian Church South Side Christian Church
 1000 Broadmoor Avenue ... Munster, Indiana 46321


(030326:157)