Name *
Name
Full name
Address
Address
Phone - home
Phone - home
Phone - mobile
Phone - mobile
Phone - work
Phone - work
Anniversary date
Anniversary date
If you have been baptized, where, when, and by whom were you baptized?
1. Do you acknowledge yourself to be a sinner in the sight of God, justly deserving His displeasure, and without hope except in His sovereign mercy? 2. Do you believe in the Lord Jesus Christ as the Son of God and Savior of sinners, and do you receive and rest upon Him alone for salvation as He is offered in the Gospel? 3. Do you resolve and promise, in humble reliance upon the grace of the Holy Spirit that you will endeavor to live as becomes the followers of Christ? 4. Do you promise to support the Church in its worship and work to the best of your ability? 5. Do you submit yourself to the government and discipline of the Church and promise to study its purity and peace?
Please include name, date of birth, school grade, school. Has he/she been baptized?
Please include name, birthdate, address, phone
Please write out a testimony of your Christian experience -- the story of how you became a Christian. If you’d like, you may speak with a pastor about your testimony.