Broomfield United Methodist Church
Saturday, October 21, 2017

We believe that membership is a personal decision to put a spiritual stake in the ground to live your faith in a broader Christian community. If you wish to join the membership of the church, complete the form below and click submit. You will receive a letter of confirmation that you joined the membership of Broomfield United Methodist Church. If you would like to learn more about the ministries and missions of BUMC before clicking “submit,” consider attending a Pizza with Pastors Class. Classes are the third Wednesday of every month at 6:30pm. 

 

                But you will receive power when the Holy Spirit comes on you; and you will be my witnesses in 
                               Jerusalem, and in all Judea and Samaria, and to the ends of the earth.  (Acts 1:8)

 

 
FAMILY INFORMATION
 
Last Name:     

First Name(s):     
 
Address:   

City:              
 
State:             Zip: 
 
Home Phone:    

Home Fax:    
 
Email:      
 
What attracted you to BUMC?  
 


INDIVIDUAL INFORMATION

ADULT #1

Name (first and last preferred name):     
      
Birthdate (mm/dd/yyyy):      
 
Baptized?     Yes      No  
 
Marital Status:     Married     Single      Divorced     Widowed

Occupation:      
 
Work Phone:     

 
Church From Which You Are Transferring...
Please fill out complete address so we can send for your transfer.
Former Church Name:
     
 
Former Church Address, City, State, Zip:     
 
OR
 
  I am currently not a member of another church and I joined/will be joining on confession of faith.

ADULT #2

Name (first and last preferred name):     
 
Birthdate (mm/dd/yyyy):      
 
Baptized?     Yes      No  
 
Marital Status:     Married     Single      Divorced     Widowed

Occupation:     
 
Work Phone:    

Church From Which You Are Transferring...
Please fill out complete address so we can send for your transfer.
Former Church Name:
     
 
Former Church Address, City, State, Zip:     
 
OR
 
  I am currently not a member of another church and I joined/will be joining on confession of faith.
 

 

CHILDREN'S INFORMATION

CHILD #1

Name (first and last preferred name):  
    

Birthdate (mm/dd/yyyy):      
 
Baptized?     Yes      No  
 
Member?     Yes      No  

Age & Grade:      
 

CHILD #2

Name (first and last preferred name):  
    

Birthdate (mm/dd/yyyy):      
 
Baptized?     Yes      No  
 
Member?     Yes      No  

Age & Grade:      
 

CHILD #3

Name (first and last preferred name):  
    

Birthdate (mm/dd/yyyy):      
 
Baptized?     Yes      No  
 
Member?     Yes      No  
Age & Grade:      
 

CHILD #4

Name (first and last preferred name):  
    

Birthdate (mm/dd/yyyy):      
 
Baptized?     Yes      No  
 
Member?     Yes      No  
Age & Grade:      
 

CHILD #5

Name (first and last preferred name):  
    

Birthdate (mm/dd/yyyy):      
 
Baptized?     Yes      No  
 
Member?     Yes      No  
Age & Grade:      
 

 
Date Attending Membership Seminar:      
Date Becoming Member:     
Which Service Do You Attend?       8am          8:30am          9:45am         11:05am
 
 


NOTE: Your information is being sent to a confidential link at Broomfield United Methodist Church to guard your privacy.