Membership Form
Things to know:
-This course will run for 3 weeks and your full attendance is required.
-Baptism is not required to become a member of SRCC/HolyWave.
-Please provide us with information for childcare; otherwise it may not be provided.
Full Name *
Your answer
Life Stage *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Phone Number *
Your answer
Email *
Your answer
Address *
Your answer
For Married: Spouse's Full Name
Your answer
For Married: Spouse's Date of Birth
MM
/
DD
/
YYYY
For Married: Spouse's Phone Number
Your answer
Child/ren's Name and Date of Birth (If you do not have children, please answer N/A) *
Your answer
Have You Been Baptized? *
For Married: Has Your Spouse Been Baptized? *
Do You Need Childcare During The Membership Course? *
Comments
Your answer
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