Membership/Connection Card Question Title * 1. Name Question Title * 2. Mailing Address Question Title * 3. Phone Question Title * 4. Email Address Question Title * 5. Add to Email List / Weekly Newsletter Yes No Tell Us About You Question Title * 6. Are You Connected? First time here I visit regularly I am a member Question Title * 7. Please provide your birthday Birth date Date Question Title * 8. Age Range 20-30 31-40 41-50 51-60 61-70 71+ Question Title * 9. Gender Male Female Question Title * 10. Marital Status Single Married Divorced Widowed Question Title * 11. Names and Ages of Children Living at Home Would You Like More Information? Question Title * 12. More Information Please (check all that apply) Kids Church 541 Youth Programs for Adults Small Groups Learn More About Holy Communion Church Question Title * 13. What Can We Do For You? Question Title * 14. How Did You Hear About Us? TV Radio HCC Website Google Friend Building Sign Social Media Other (please specify) Ministry Opportunities Question Title * 15. Want to be more involved? (check all that apply) 541 Youth Altar Servers Eucharistic Ministers Fellowship Committee Greeters Kids Church / CuddleCare Lectors Prayer Warriors (receive prayer requests via email) Sacristans Small Groups Ushers Veterans / Military Outreach Worship & Media Other (please specify) Skills / Abilities / Gifting Question Title * 16. I Can Help With... (check all that apply) Audio & Video Clean-up / Set-up Computer Skills Event Planning Financial Background Food Prep Graphics & Media Handyman Ability Marketing Background Musical Ability PowerPoint Presentations Teaching Ability Website / Social Media Youth / Kids Describe Selected Skills/Abilities: Sacraments Question Title * 17. Have You Been Baptized? Yes No Question Title * 18. If "Yes" please answer the following : In what faith denomination were you baptized? In what year were you baptized? Church Name, City & State Question Title * 19. Have You received First Holy Communion? Yes No Question Title * 20. Have You Been Confirmed? Yes No Question Title * 21. Are You Married? Yes No Question Title * 22. If You Are Married... Name of Spouse Date of Marriage Were You Married by a Minister or Priest? Question Title * 23. Are You an Ordained Minister or Priest Yes No Question Title * 24. If you are Ordained, please provide details (date and organization) HCC Information Question Title * 25. Do you regularly attend HCC? Yes No Question Title * 26. Is HCC your primary place of worship in Central Oregon? Yes No Question Title * 27. Do you freely share your God-given gifts to support HCC and the greater Central Oregon community? Yes No Live Stream Question Title * 28. Are you an Out of Area - Live Stream Supporter? Yes No Question Title * 29. How Do You view the Live Stream? HCC Website HCC Facebook Page HCC YouTube Channel Question Title * 30. If you are an Out of Area Supporter, where are you located? Question Title * 31. I affirm to the best of my knowledge that this information is true and accurate. Yes No Done
