Hideaway Lake Community Church Membership Application
Name:
Your answer
BIRTH DATE:
MM
/
DD
/
YYYY
SPOUSE:
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BIRTH DATE:
MM
/
DD
/
YYYY
HOME PHONE:
Your answer
CELL PHONE (SELF):
Your answer
CELL PHONE (SPOUSE):
Your answer
EMAIL ADDRESS (SELF):
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EMAIL ADDRESS (SPOUSE):
Your answer
HOME ADDRESS
Your answer
MAILING ADDRESS (if different)
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PLACED MY FAITH IN CHRIST (WHEN): SELF
Your answer
PLACED MY FAITH IN CHRIST (WHEN): SPOUSE
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BAPTISM (WHEN/WHERE) SELF
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BAPTISM (WHEN/WHERE) SPOUSE
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Are you joining by statement of faith in Christ or by transfer of letter from another church?
If by transfer of letter, please give name and address of church:
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