Contact Information

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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
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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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