MEMBERSHIP APPLICATION
Thank you for your desire to become a member of Emmanuel church family. Please take a moment to fill out this form, and we'll contact you as soon as possible. We're excited to get to know you better!
First Name
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Last Name
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Phone Number
*
Date of Birth
*
Marital Status
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Single
Engaged
Married
Partner
Widowed
Divorced
Separated
Are you a member of any church right now? If yes, what church?
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Do you consider yourself born again Christian?
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Yes
No
Have you been baptized in water?
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Yes
No
Anything you would like to share?
Submit