Love, Joy, Peace...
Head of Household
Name: (Required)
Birth Date: (Required)
Baptism Date:
Confirmation Date:
Confirmation Verse:
Home Phone:
Cell Phone: (Required)
Email:
Spouse (Only if Member)
Name:
Birth Date:
Baptism Date:
Confirmation Date:
Confirmation Verse:
Home Phone:
Cell Phone:
Email:
Home Address
Please verify that we have your correct home address in our records by supplying your home address below
Street:
Faith History (Head of Household)
Public profession of faith means you were confirmed or baptized
I was baptized as an infant, but never accepted Jesus as my personal Lord and Savior
I was baptized as an infant & have accepted Jesus as my Lord & Savior, but haven't made a public profession of faith
I was baptized as an infant, have accepted Jesus as my Lord & Savior, & have made a public profession of faith
I made the decision to be baptized when I was old enough to make a public profession of my faith in Jesus
I have never been baptized
Faith History (Spouse)
Public profession of faith means you were confirmed or baptized
I was baptized as an infant, but never accepted Jesus as my personal Lord and Savior
I was baptized as an infant & have accepted Jesus as my Lord & Savior, but haven't made a public profession of faith
I was baptized as an infant, have accepted Jesus as my Lord & Savior, & have made a public profession of faith
I made the decision to be baptized when I was old enough to make a public profession of my faith in Jesus
I have never been baptized
Church Membership History (Head of Household)
I was an official member of another church and am transferring my membership
Name of Church/Denomination that I'm transferring from:
Church Membership History (Spouse)
I was an official member of another church and am transferring my membership
Name of Church/Denomination that I'm transferring from:
Children (Only if Members)
Name (Include last name if different):
Name of child #1
Birth Date:
DOB of child #1
Baptism Date:
Baptism date of child #1
Confirmation Date:
Confirmation date of child #1
Name:
Name of child #2
Birth Date:
DOB of child #2
Baptism Date:
Baptism date of child #2
Confirmation Date:
Confirmation date of child #2
Name:
Name of child #3
Birth Date:
DOB of child #3
Baptism Date:
Baptism date of child #3
Confirmation Date:
Confirmation date of child #3
Name:
Name of child #4
Birth Date:
DOB of child #4
Baptism Date:
Baptism date of child #4
Confirmation Date:
Confirmation date of child #4
Name:
Name of child #5
Birth Date:
DOB of child #5
Baptism Date:
Baptism date of child #5
Confirmation Date:
Confirmation date of child #5
Solve 5 + 6 = ?