Getting to Know You
Please fill out this form and click submit.
Full Name
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Preferred Name/Nickname
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Preferred Pronouns
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Preferred Email
*
This address will receive a confirmation email
Preferred Phone
*
My preferred phone number is a
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Please select one option.
Cell Phone
Home Landline
Work Phone
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Is there secondary contact information you'd like us to have? (Additional phone/email/address, etc.)
Birth Date
*
Spouse/Partner Name
In case of emergency, who would you like us to contact?
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Emergency Contact's Phone
*
Do you have any dietary or mobility restrictions, medical conditions, or allergies that you'd like our staff to be aware of?
Would you like to receive Rock Spring's regular emails?
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Please select all that apply.
Yes
No
Are you currently a member of another church?
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Please select all that apply.
Yes
No
If yes, would you like us to send a Letter of Transfer to that church? Please provide the name & address of the church.
Do you currently have children living at home?
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Please select one option.
Yes
No
If yes, please enter their names and birth dates.
What would you like us to know about your vocation, current or past?
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What do you like to do for fun?
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Why do you wish to join Rock Spring?
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What information would you like us to share about yourself with the congregation to help them get to know you?
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Ministry and Activity Interests
Please check all that apply.
Music
Please select all that apply.
Choir
Instrumental
Rock Spring Recital Series
Adult Faith Formation & Spirituality
Please select all that apply.
Studies and Classes
Men's or Women's Spirituality Groups
Spiritual Practice Opportunities
Children's & Youth Faith Formation
Please select one option.
Programs for my child(ren)
Volunteer opportunities with children/youth
Social Justice
Please select one option.
Advocacy
Hands-on service
Racial Justice
Rock Spring's
Rock Spring's
Other (please specify below)
If other, please specify what areas of social justice you are interested in.
Worship
Please select one option.
Being a lay reader/liturgist
Providing sanctuary flowers
Serving as an usher/greeter
Hospitality
Please select one option.
Helping with coffee hour
Helping to prepare meals for church events
Providing food/baking for memorial services
Congregational Life
Please select one option.
Serving on a board or committee
Participating in Caring Ministries (knitting prayer shawls, writing cards, etc.)
Helping maintain the church property
Volunteering in the church office
Is there another interest you would like to pursue or gift/talent you would like to share?
Anything else you'd like us to know?
*
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