NEW MEMBER FORM

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Name

*

Phone

*

Email

*

This address will receive a confirmation email

D. O. B.

Status

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Single Married Divorced Widow/Widower

Anniversary Date (If Married)

Preferred Method Of Contact

*

Please select all that apply.

Text Message Email

I agree to receive text messages from the church for announcements and important updates. I understand I may opt out at any time

*

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Yes No

Transportation Needed:

*

Please select one option.

Yes No Occasionally

Skills/ Talents

Ministry & Service Interest:

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Music Ministry Usher Board Youth Ministry Evangelism Ministry Business Ministry Married Couple Ministry Bean Ministry Men's Ministry Women Ministry Senior Saints New Members Ministry Van Ministry Pastor Support Sunday School Social Justice/ NAACP Media/ Photography Exercise Ministry

Baptism Request

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Are you interested in a personal relationship with Christ?Are you interested in a personal relationship with Christ?

Member

*

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Interested Not Interested Option

Emergency Contact Name

*

Emergency Contact Phone

*

Description

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Please Fix the Following

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