Rockwood SDA Membership Transfer Form
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Full Name *
Sex
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Email
Phone Number *
Mailing Address *
Date of Birth *
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Date of Baptism (please estimate if unknown) *
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YYYY
I'm transferring my membership from: *
Spouse
If applicable, otherwise please scroll to the bottom of the page to submit the form.
Spouse — Sex
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Spouse Full Name (if applicable)
Anniversary (if applicable)
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YYYY
Spouse Date of Birth
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YYYY
Spouse Date of Baptism (if applicable, please estimate if unknown)
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YYYY
Child 1
If applicable, otherwise please scroll to the bottom of the page to submit the form.
Child 1 — Name
Child 1 — Sex
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Child 1 — Date of Birth
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DD
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YYYY
Child 1 — Date of Baptism (if applicable)
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DD
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YYYY
Child 2
If applicable, otherwise please scroll to the bottom of the page to submit the form.
Child 2 — Name
Child 2 — Sex
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Child 2 — Date of Birth
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DD
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YYYY
Child 2 — Date of Baptism (if applicable
MM
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DD
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YYYY
Child 3
If applicable, otherwise please scroll to the bottom of the page to submit the form.
Child 3 — Name
Child 3 — Sex
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Child 3 — Date of Birth
MM
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DD
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YYYY
Child 3 — Date of Baptism (if applicable)
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DD
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YYYY
Child 4
If applicable, otherwise please scroll to the bottom of the page to submit the form.
Child 4 — Name
Child 4 — Sex
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Child 4 — Date of Birth
MM
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DD
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YYYY
Child 4 — Date of Baptism (if applicable)
MM
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DD
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YYYY
Additional Family Members
If more than four children, please provide the Name, Sex, Date of Birth, and Date of Baptism of each. Thank you. :)
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