First Calvary Baptist Church

Membership Decision and Data Form

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Membership Decision & Data Form




First Name Last Name
Select from list
Address
Address Line 2
City State Zip Code
Phone Number
Email Address



Emergency Contact Numbers:


First Name Last Name
Phone Number


First Name Last Name
Phone Number



Select all that apply
Accepts Christ as their personal Savior and Lord
Baptism


Select all that apply
By Christian experience
Restoration of memebership
Rededicates life of Christ
Associate member
Watchcare


"An Exciting Church Excited About Its Mission"

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