Lay Member Change Request This form is for Local Church Lay Member changes only. For District At-Large changes, please contact the District Office. Changes will be accepted until June 1, 2021. Name* First Last Email* Enter Email Confirm Email Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*District*-- Select a District --BeaconCapitalCorridorFairwayGatewayHarborHeritageSoundChurch/Charge*Pastor's Name* First Last Youth*Are you a youth member? No Yes Youth Age*What is your age?Former Lay Member*What is the name of the lay member you are replacing?EmailThis field is for validation purposes and should be left unchanged.