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Membership Information Record

Please complete the information below

    Contact Information


             
        

    Family Information

        
        
    Have you been baptized? YesNo

        
        
    Have you been baptized? YesNo

    Names of Children Becoming Members with You

            
    Have you been baptized? YesNo    If yes, date of baptism:

            
    Have you been baptized? YesNo    If yes, date of baptism:

            
    Have you been baptized? YesNo    If yes, date of baptism:

            
    Have you been baptized? YesNo    If yes, date of baptism:

            
    Have you been baptized? YesNo    If yes, date of baptism:

    Past Church Experience

    Are you currently a member of a church? YesNo
            

    Church Communications

    How would you prefer to receive the weekly church newsletter? EmailUS Mail

    Joining the Church

    What date do you prefer to join the church? (MM/DD/YY)

    Do you wish to have your child(ren) baptized? YesNo

    Additional Information

    I am interested in more information about: (check all that apply)
    Children's MinistryYouth MinistryAdult Sunday SchoolMen's or Women's Studies or GroupsOther

    I am interested in more information about opportunities to serve: (check all that apply)
    Worship (Usher, greeter, acolyte, audio/video, etc.)Music/Choir/Musician (Chancel Choir, Praise Band, soloist, etc.)Prayer MinistryChildren's Ministry (Sunday School Teacher, Nursery, Vacation Bible School, etc.)Youth Ministry (Chaperone, Program Leader, etc.)Congregational Care (Visitation, bereavement meals, etc.)Local/National/Global Missions and MinistriesOther

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