Baptism and/or Membership Application
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 or Nickname *
ie: Christopher (Chris)
Your answer
Middle Name
Your answer
Last Name *
Your answer
Former Last Name and/or Maiden Name
Jones (Maiden Name) Smith (former name from previous marriage)
Your answer
Gender *
Street Address *
ex: #101 1234 Main Street
Your answer
City *
Your answer
Postal Code *
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Email *
Your answer
Birthday *
mm/dd/yyyy
Your answer
Birthplace *
Your answer
Parent's First and Last Names *
Even if deceased
Your answer
Which is your age category? *
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