Decision Information

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Decision Information NAME:___________________________________________________________

DATE: ___/___/____

DECISION MADE ____ Profession of Faith (Baptism) ____ Membership by Church Letter from ___________________________________________________________ ____ Other Decision ___________________________________________________________________________ NEW MEMBER INFORMATION HOME ADDRESS: ___________________________________________________________________________ (city/zip) PHONE: (home) ____-____-____

(mobile) ____-____-____

(work) ____-____-____

(pager) ___-___-___

EMAIL:

______________________________________________

Date of Birth: __/__/____

OCCUPATION:

___________________________________________________________________________

EMPLOYER:

___________________________________________________________________________

(address, city, zip)

___________________________________________________________________________ NEW MEMBER FAMILY INFORMATION

MARITAL STATUS:

____ Married

____ Single

____ Divorced

SPOUSE’S NAME: _____________________________________________

____ Widowed Date of Birth: __/__/____

CHILD’S NAME:

____________________________

Date of Birth: __/__/____

Grade: ___

CHILD’S NAME:

____________________________

Date of Birth: __/__/____

Grade: ___

CHILD’S NAME:

____________________________

Date of Birth: __/__/____

Grade: ___

CHILD’S NAME:

____________________________

Date of Birth: __/__/____

Grade: ___

SUNDAY SCHOOL ENROLLMENT INFORMATION Sunday School Class Presently Attending: If Not, Class Type Preference:

___________________________________

___ Co-ed

May we enroll you (and family) in Sunday School?

___ Ladies Only ___ Yes

___ Men Only ___ No

___ Need More Info