In an effort to maintain and update our church membership files, we ask that you would complete the form below. This information will be maintained by the church office and will be for official use only.
To complete the registration process, please complete all applicable blanks, scroll to the bottom, confirm and submit. You should receive a confirmation email if the form is processed.
Registrant's Name (Person completing the Form) *
required
Is this a name change? If so, please list other names below.
required
Address (If P. O. Box, please list finding address on second line) *
Primary Phone Number *
required
Phone Type *
select one
Select one
Secondary Phone Number
required
Phone Type
select one
Select one
Primary Email Address *
required
Secondary Email Address (if applicable)
required
Date of Birth *
required
Date Joined Fairview
required
SPOUSE INFORMATION (If Applicable)
Spouse Name
required
Other Names Used?? Please list below
required
Address (if different from Registrant)
Primary Phone Number
required
Phone Type
select one
Select one
Secondary Phone Number
required
Phone Type
select one
Select one
Is spouse a member of Fairview?
select one
Select one
EMERGENCY CONTACT INFORMATION *
required
Address
Primary Phone Number *
required
Secondary Phone Number
required
Relationship
required
PLEASE COMPLETE INFORMATION BELOW FOR ALL HOUSEHOLD MEMBERS, 18 AND UNDER
Name
required
Date of Birth
required
Relationship
required
Fairview Member?
select one
Select from list
Name
required
Date of Birth
required
Relationship
required
Fairview Member?
select one
Select one
Name
required
Date of Birth
required
Relationship
required
Fairview Member?
select one
Select one
Name
required
Date of Birth
required
Relationship
required
Fairview Member?
select one
Select one
Name
required
Date of Birth
required
Relationship
required
Fairview Member?
select one
Select one
Name
required
Date of Birth
required
Relationship
required
Fairview Member?
select one
Select one
Does your family attend Sunday School? *
select one
Select one