Cornerstone Church Ministries
Personal Information:
First Name
Last Name
Mailing Address
Phone
Email Address
Date of Birth
Date Joined
Candidate for Baptism
Yes
No
Renewal
Gender
Male
Female
Membership status
New Member
Watch care
Reuniting
Accepted Jesus
Yes
No
No Don't Understand
On the Fence
Occupation/Employer
Registered Voter
Yes
No
Spouse Information:
Full Name
Date of Birth
Date Joined
Phone
Membership status
New Member
Watch care
Reuniting
Gender
Male
Female
Registered Voter
Yes
No
Candidate for Baptism
Yes
No
Renewal
Accepted Jesus
Yes
No
No Don't Understand
On the Fence
Email
Occupation/Employer
Children
Name
Gender
Male
Female
Name
Gender
Male
Female
Name
Gender
Male
Female
Date of Birth
Candidate for Baptism
Yes
No
Date of Birth
Candidate for Baptism
Yes
No
Date of Birth
Candidate for Baptism
Yes
No
Emergency Contact (Not Living With You)
Name/Relationship
Name/Relationship
Phone
Phone
Office Use Only
Date Received
Date Full Membership
Group Leader
Date Joined
New Members Class
Baptism Date / Status
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