New Member Registration
Thank you for your interest in Trinity Wilmette.
Please fill out this form and click submit.
Adult #1
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Date of birth
*
Adult #2
Full Name
*
Email
*
This address will receive a confirmation email
Phone
*
Date of birth
*
Names and Birth Dates of Children, if any
*
Do you want to schedule baptism for anyone in your household?
*
Please select one option.
No.
Yes (indicate names below.
Name(s) of those being baptized.
*
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
Requested Dates to Join (in order of preference, please list 2-3 possible dates, avoiding first Sunday of the month).
*
If you are transferring your membership to Trinity Wilmette from another congregation, please provide the church's name and address so we may contact them on your behalf.
*
Please tell us a little bit about yourself, your hobbies, family, and interest in church.
*
Submit
Description
Thank you for your interest in Trinity Wilmette.
Please fill out this form and click submit.
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