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About Our Story Next Steps & Membership Meet the Staff Leadership Worship 8:30 am Relaxed Traditional 9 am Contemporary 11 am Traditional Ministries Adult Discipleship Children Connections in Christ Family and Friends of Veterans Missions Music & Worship Prayer & Care Stephen Ministry United Methodist Women Weekday School Youth Upcoming Events Mission & Outreach Opportunities Schedule an Event Enews Subscribe Give Give Online 2025 Estimate of Giving

For New Members

We appreciate you completing the following form as a new member of PUMC! This information will be used for church purposes only.

Member Profile Form

Choose:

Mr.

Mrs.

Miss

Ms.

Dr.

Name *

First Name

Last Name

Email *

Home Phone

Address

City

State

Zip Code

+ HEAD OF HOUSEHOLD (First, Middle, & Last Name)

Cell Phone

Email

Date of Birth (with year)

Baptism Date (approximate is fine)

Confirmation Date (approximate is fine)

Employer

Occupation Phone

Joining by:

Umc Transfer

Profession of Faith

Reaffirmation of Faith

Transfer (other)

Church Transferring From

Church Address

Sunday School Member? (Include Class Name)

Relatives Who Are Members of PUMC

+ SPOUSE (First, Middle, & Last Name)

Cell Phone

Email

Date of Birth (with year)

Baptism Date (approximate is fine)

Confirmation Date (approximate is fine)

Employer

Occupation Phone

Joining by:

UMC Transfer

Profession of Faith

Reaffirmation of Faith

Transfer (other)

Church Transferring From

Church Address

Sunday School Member? (Include class name)

Relatives Who Are Members

+ CHILD ONE INFORMATION (name)

Date of Birth

Please Indicate

Female

Male

Current Grade

Baptism Date

Confirmation Date

Will They Take Their Vows?

Yes

No

Not Sure

Cell Phone

Current School

+ CHILD TWO INFORMATION (name)

Date of Birth

Please Indicate

Female

Male

Current Grade

Baptism Date

Confirmation Date

Will They Take Their Vows?

Yes

No

Not Sure

Cell Phone

Current School

+ CHILD THREE INFORMATION (name)

Date of Birth

Current Grade

Please Indicate

Female

Male

Baptism Date

Confirmation Date

Will They Take Their Vows?

Yes

No

Not Sure

Cell Phone

Current School

Thank you!

Providence Campus
2810 Providence Rd Charlotte, NC 28211
704-366-2823

St. John’s Campus
4305 Monroe Rd. Charlotte, NC 28205
704-366-2823

Office Hours
9 AM - 5 PM Monday - Thursday
9 AM - 3 PM Friday

More? info@providenceumc.org

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