EAC Application for Recommitment
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First Name of Candidate for Recommitment *
Last Name of Candidate for Recommitment *
Date candidate started attending Emmanuel Anglican Church *
Birthdate of Candidate *
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Date & Church of Baptism *
Date & Church of Confirmation *
Does the candidate for Recommitment affirm the Duties of the Laity? *
Required
Age of Candidate *
Date and place of birth of candidate *
House Address  *
City *
State *
Zip Code  *
Phone Number *
Email  *
What is your reason for wanting to Recommit your life to Jesus?  *
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