SWC Membership Form

Your Name

This address will receive a confirmation email

Phone

Date of Birth

Address

Marital Status

Married (spouse joining also) Married (spouse not joining) Single

Tell us briefly how and when you accepted Jesus as your Lord and Savior.

Were you baptized by immersion after you gave your life to Jesus?

Yes No, please schedule me for baptism I would like to talk to someone about this.

When and where were you baptized?

Have you been a member of another church?

Yes No

If so, what church were you last a member?

Spouse Information

Please fill out this section if you are married and your spouse is joining also.

Spouse's Name

(spouse) Email

(spouse) Phone

(spouse) Date of Birth

(spouse) Tell us briefly how and when you accepted Jesus as your Lord and Savior.

(spouse) Were you baptized by immersion after you gave your life to Jesus? Yes No, please schedule me for baptism I would like to talk to someone about this.

(spouse) Have you been a member of another church? Yes No

(spouse) If so, what church were you last a member?

Children Information

Complete this section if you have children. For each child enter their Date of Birth and then answer these two questions.

1) HAS THIS CHILD ACCEPTED JESUS AS THEIR LORD AND SAVIOR?

2) HAS THIS CHILD BEEN BAPTIZED BY IMMERSION AFTER ACCEPTING JESUS?

If you have more children than the space provided, please talk with one of our staff to add additional kids.

Child 1 Name

(CH1) Date of Birth

(CH1) Accepted Jesus? Yes No

(CH1) Been baptized? Yes No

Child 2 Name

(CH2) Date of Birth

(CH2) Accepted Jesus? Yes No

(CH2 Been baptized? Yes No

Child 3 Name

(CH3) Date of Birth

(CH3) Accepted Jesus? Yes No

(CH3) Been baptized? Yes No

Child 4 Name

(CH4) Date of Birth

(CH4) Accepted Jesus? Yes No

(CH4) Been Baptized Yes No

Child 5 Name

(CH5) Date of Birth

(CH5) Accepted Jesus? Yes No

(CH5) Been baptized? Yes No

Child 6 Name

(CH6) Date of Birth

(CH6) Accepted Jesus? Yes No

(CH6) Been baptized? Yes No

SWC Membership Form

Description

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