MEMBERSHIP FORM

Name:*
Address:*
Phone:*
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Occupation:
Employer:
E-mail:*
Date of Birth:*
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Date of Baptism: (if applicable)
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Previous Church Home: (if applicable)
Marital Status:
SPOUSE INFORMATION
Spouse Name:
Spouse Phone:
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Spouse Occupation:
Spouse Employer:
Spouse E-mail:
Spouse Date of Birth:
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Spouse Date of Baptism: (if applicable)
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Spouse Previous Church Home: (if applicable)
CHILDREN INFORMATION
Child 1 Name:
Child 1 Gender:
Child 1 Birth Date:
Child 1 Age:
Child 1 Date of Baptism: (if applicable)
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Child 2 Name:
Child 2 Gender:
Child 2 Birth Date:
Child 2 Age:
Child 2 Date of Baptism: (if applicable)
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Child 3 Name:
Child 3 Gender:
Child 3 Birth Date:
Child 3 Age:
Child 3 Date of Baptism: (if applicable)
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