New Member Information Step 1 of 2 50% Date Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Primary PhoneSecondary PhoneDate of BirthEmail WorkWork PhoneOccupationOther members of family living at above address (Spouse, parents, and in case of children, give date of birth):1.Birthday2.Birthday3.BirthdayIf your membership includes transferring from another church, please provide the name and address of the church you are transferring from so a letter of transfer can be sent on your behalf.Name of ChurchAddress of Church AFFIRMATION OF MEMBERSHIP:In the presence of God I declare that in making this application, I affirm the Mission and accept as my own, the Covenant of Fox River Congregational Church.Sign/Type Your Name HereOur MissionThe Mission of Fox River Congregational church is to fulfill Christ's Great Commandment and Great Commission to encourage, equip, and support all people in growing toward more Christ-like lives in their thoughts, feelings, and actions by: * connecting with God in a loving and intimate relationship as modeled by Christ, * connecting with Christian believers through love, caring and sharing life together, * connecting with people through lovingly serving their physical, emotional, and spiritual needs, and * connecting with people outside the faith through lovingly witnessing the good news of Christ and the power of God's love for all people, leading them to accept Christ as Lord and Savior, and bringing them into congregational life.Our CovenantAs a follower of Jesus Christ, the Son of God and my Lord and Savior, I covenant with God and other members of our church to personally commit to creating an environment for richer communion with God and to: OWN the Mission of our Church GROW toward a more Christ-like life by seeking to *connect with God in a loving and intimate relationship as modeled by Christ, *connect with Christian believers through love, caring, and sharing life together, *connect with all people through lovingly serving their physical, emotional and spiritual needs, and *connect with people outside the faith through lovingly witnessing the good news of Christ and the power of God's love for all people, leading them to accept Christ as Lord and Savior, and bringing them into congregational life. DEDICATE time, talent, and treasure to the service of God ABIDE in the Congregational Way as understood and embraced by our fellowship.