Please fill out and submit this form by using the button at the bottom of page. If you have feedback or comments, or you'd like further information, contact Channing's Membership Chairs, Judie Porter and Marcia Mallory at membership@channingchurch.org.
Adult (1) Name . . . .
Email-1 . . . . . .
Cell_Phone_1. .
Occupation or Former Occupation-1
Adult (2) Name . . . .
Email-2 . . . . . .
Cell_Phone_2. .
Occupation or Former Occupation-2
Child (1) Name . . . .
Birthday-1 . . . .
Child (2) Name . . . .
Birthday-2 . . . .
Child (3) Name . . . .
Birthday-3 . . . .
Child (4) Name . . . .
Birthday-4 . . . .
Street_Address. . . .
City_State_Zip . . . .
Home_Phone . . . . . .
Please check all areas of congregational life which interest you most.
Skills/Gifts I may be willing to share with Channing:
Suggestions for other Channing activities: