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Unity Baptist Church
Candidate for Membership Application
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Today's Date
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First Name
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Your answer
Middle Name
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Last Name
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Your answer
Address
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City
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Your answer
State
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Zip
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Email Address
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Phone Number (with area code)
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Alternate Phone Number (with area code)
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Date of Birth
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DD
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YYYY
Gender
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Female
Male
Age
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Adult (18+)
Youth
Emergency Contact Name
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Emergency Contact Phone Number (with area code)
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Marital Status
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Married
Single
Divorced
Widow/Widower
Candidate for Membership by
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Baptism
Christian Experience
by Letter of Christian Experience
Counseling
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Parent/Guardian Name (youth candidates)
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Parent/Guardian Phone Number (youth candidates )
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