Getting to Know YouPlease enable JavaScript in your browser to complete this form.First Name *Nickname (optional)Last Name *Birth Date *Spouse/Partner NameAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePreferred Email Address *Preferred Phone Number *My preferred phone number is a: *Cell PhoneHome LandlineWork PhoneAlternate Phone Number (if applicable)My alternate phone number is a:Cell PhoneHome LandlineWork PhoneIs there someone you would like for us to contact in the event you experience an emergency?Please enter the name and relationship of your emergency contact.Emergency Contact Phone NumberPlease enter the phone number and phone type (cell phone, home landline, work phone) of your emergency contact.Do you have any mobility or dietary restrictions, medical conditions, or allergies that you would like our staff to be aware of?Would you like to receive Rock Spring’s regular emails? *YesNoWould you like to receive information about the UCC’s special offerings via email? *YesNoAre you currently a member of another church? *YesNoIf yes, do you want us to send a letter of transfer to that church?YesNoIf yes, please fill out the church's name and address.Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you currently have children at home? *YesNoIf yes, please enter their name(s), birth date(s), and date(s) of baptism, if applicable.What would you like us to know about your vocation (current or past)? *What do you like to do for fun? *Why do you wish to join Rock Spring? *What information about yourself would you like to share with the congregation to help them get to know you? *What Rock Spring programs & ministries would you like to receive more information about or participate in?MusicChoirInstrumentalRock Spring Recital SeriesIf you're interested in choir, please indicate which choir(s):Sanctuary Choir (Adult)Men's EnsembleChildren/Youth ChoirWhat instrument do you play?Adult Faith Formation & SpiritualityStudies and ClassesMen’s or Women’s Spirituality GroupsChildren’s & Youth Faith FormationPrograms for my child(ren)Volunteer opportunities with children and youthSocial JusticeAdvocacyHands-on ServiceRacial JusticeRock Spring’s "Welcoming the Stranger" Refugee ProgramsRock Spring’s "Green Accelerator Project" (GAP)Other (please specify below)If other, please specify what area of social justice you are interested in:WorshipBeing a lay reader/liturgistProviding altar flowersServing as an usher or greeterSpecial worship services (such as Taizé, Worship S’more, the Longest Night)HospitalityHelping with coffee hourHelping to prepare meals for church eventsCongregational LifeServing on a board or committeeParticipating in caring ministries (knitting prayer shawls, sending cards, etc.)Helping maintain the church propertyVolunteering in the church officeSubmit