Thank you for your consideration in becoming a member at Lost Creek!

Please fill out the information contained in this form and our pastor will be in contact with you shortly.

Family Information

In the space below, please provide the first and last names of each family member to be included in membership. Please include the age and grade of any children in your home.

Please provide the primary email for you or your household.

Please provide the primary phone number for you or your household.

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Affiliation

What is your current church affiliaton?

Not a member of any church

Member of a United Methodist Church

Member of a non-United Methodist Church

Please provide us the name and location of the United Methodist Church you are currently a member of.

Please provide us the name, denomination, and location of the church you are currently a member of.

Are all members of your household baptized?

Yes

No

If no, please let us know which members of your household are not baptized.

How long have you been attending Lost Creek?

Where did you first find us or how did you hear about us?

Let us know anything else about yourself that you would like to share!