Baptism and/or Membership Application
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Email *
Personal and Family Record
In completing this form, you give consent to South Abbotsford Church to use your personal information.  The church has adopted a Privacy Policy as we recognize the rights of people to keep their personal information private.  The church will use the personal information we collect for the purpose disclosed at the time of collection, or otherwise as set out in Privacy Policy.  We will not use your personal information for any other purpose without first seeking your consent unless authorized or required by law.
First Name  *
Nick Name or Preferred Name (if applicable)
ie:  Christopher (Chris)
Middle Name
Last Name *
Former Last Name and/or Maiden Name
Jones (Maiden Name) Smith (former name from previous marriage)
Gender *
Street Address *
ex:  #101 1234 Main Street
City *
Postal Code *
Primary Phone Number *
Secondary Phone Number
Email *
Birthday *
mm/dd/yyyy
MM
/
DD
/
YYYY
Birthplace *
Parent's First and Last Names *
Even if deceased
Marital Status *
Name of Spouse
Date of Marriage
Date or age you decided to follow Jesus Christ *
Approximately
Before attending South Abbotsford, the churches I attended were...
Do you currently belong to a Small Group?
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Name of your Small Group Leader
If applicable
I am currently volunteering with these church ministries:
This is my application for *
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