New Member Registration "*" indicates required fields LinkedInThis field is for validation purposes and should be left unchanged.Name* Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Middle Last Maiden Name, if applicableAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneWork PhoneEmail* Enter Email Confirm Email Have you been baptized in a Christian church?* Yes No Have you made a public confession of faith (confirmation/other)?* Yes No It is my desire to unite with Wellshire Presbyterian Church by:* Profession of Faith (if you were baptized as a child, but you are uniting with a Christian church for the first time) Profession of Faith and Baptism (if you are uniting with a Christian church for the first time and have not been baptized) Reaffirmation of Faith (if you have formerly been a member of a Christian church, but your membership is no longer active) Letter of Transfer* ( if you are transferring from another Christian church) Affiliate Membership (if you are an active member of another congregation of the Presbyterian Church (USA) or of another denomination or Christian body, and have temporarily moved from that community) *If you are uniting by Letter of Transfer or Affiliate Membership, please give the name of the church at which you are currently a member. Note: WPC will write for the Letter of Transfer.Name of church, denomination, city & state:*Address of church:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Birthdate* Marital Status* Married Single Widowed Spouse's Name* First Last Wedding Anniversary Date* Have you ever been an Elder or Deacon in the Presbyterian Church (USA)? Elder Deacon Elder Ordination Date* Church*Deacon Ordination Date* Church*ChildrenClick on the + icon to add multiple children.Full Name (inc. middle name)BirthdateGrade in SchoolBaptism Date Add RemovePresent OccupationPresent EmployerIf retired, former occupation/employer:Strong interests; areas of special passion or education:People or ministries of Wellshire that you particularly enjoy:How might you like to be involved at Wellshire in the future: Music Hospitality/Caring Ministries Technology & Facilities Mission/Service Study/Educational Opportunities Nursery Community Interests or involvement:How did you discover Wellshire?Where are your roots? (born, raised, etc.)What do you do?What brings you joy?How did you come to Wellshire?Who do you know at Wellshire?How are you currently involved at WPC?Is there something you would like to be involved with at WPC? How can we help? Δ