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2021-07-14T21:57:05-04:00
Membership Request
Step
1
of
2
50%
Family Information
One submission per adult person please.
Name
First
Last
Phone
Email
Birth Date
MM slash DD slash YYYY
Address
Street Address
Address Line 2
City
Florida
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Marital Status
Single
Married
Separated
Divorced
Widowed
Children's Names/Ages (if any)
Anniversary
MM slash DD slash YYYY
Spiritual Life
Have you accepted Jesus as your Savior?
Yes
No
Have you been baptized by immersion?
Yes
No
No, but would like to be baptized at First Bradenton
Tell us about when and how you accepted Jesus as your Savior?
Did you attend church anywhere before First Bradenton?
Yes
No
Name of you previous church? Were you a member?
How long did you attend your previous church?
Less than 1 year
1-3 years
3-5 years
Over 5 years
Briefly explain your reason for leaving your previous church.
How do you feel you have grown as a Christian in the last 5 years?
What ministries do you feel called to or gifted in?
Do you have any further questions about our church or it's leadership?
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