Membership Class

Each adult family member please fill out an individual sheet

First Name

Last Name

Gender

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Birthdate

Marital Status

Children Names and Birthdays (please include their full names)

Are you currently a church member?

Church Name

Have you been baptized?

Church you were baptized at?

Previously held position(s) in the church (ex. pastor, elder, deacon, staff, etc.)