Eternal Rock Fellowship Church

First Name * Last Name * Address * City * State * Zip * Birthday [dd-MMM-yyyy] Email Phone Number Cell Phone Have You Attended Starting Point? * Yes No Signed Up Cannot Attend at Time Offered Explain Circumstances Have you been Baptized? * Yes No When? [dd-MMM-yyyy] Do You Attend A Small Group? Attend Does Not Attend Leader Cannot Attend at Time Offered In What Area(s) of Ministry Do You Currently Serve? * Hospitality Team Greeting Team Usher Team Audio/Video Team Experience Prep Team Teaching Team Media/Web Team Worship Team Children’s Ministry Team Youth Ministry Team Resource Table Team Small Group Leader Pastoral Team Parking Team Not on a Team	Wedding Anniversary [dd-MMM-yyyy] Spouse First Name Spouse Last Name Spouse E-mail Spouse Cell Phone Spouse Birthday [dd-MMM-yyyy] Has Your Spouse Been Baptized? Yes No When? [dd-MMM-yyyy] In What Area(s) of Ministry Do You Currently Serve? Hospitality Team Greeting Team Usher Team Audio/Video Team Experience Prep Team Teaching Team Media/Web Team Worship Team Children’s Ministry Team Youth Ministry Team Resource Table Team Small Group Leader Pastoral Team Parking Team Not on a Team Child 1 Name Child 1 Last Name Child 1 Birthday [dd-MMM-yyyy] Baptism/Dedication Has not been baptized Too young to be baptized Has been dedicated Needs to be dedicated Child 2 Name Child 2 Last Name Child 2 Birthday [dd-MMM-yyyy] Baptism/Dedication Has not been baptized Too young to be baptized Has been dedicated Needs to be dedicated Child 3 Name Child 3 Last Name Child 3 Birthday [dd-MMM-yyyy] Baptism/Dedication Has not been baptized Too young to be baptized Has been dedicated Needs to be dedicated Child 4 Name Child 4 Last Name Child 4 Birthday [dd-MMM-yyyy] Baptism/Dedication Has not been baptized Too young to be baptized Has been dedicated Needs to be dedicated Child 5 Name Child 5 Last Name Child 5 Birthday [dd-MMM-yyyy] Baptism/Dedication Has not been baptized Too young to be baptized Has been dedicated Needs to be dedicated Child 6 Name Child 6 Last Name Child 6 Birthday [dd-MMM-yyyy] Baptism/Dedication Has not been baptized Too young to be baptized Has been dedicated Needs to be dedicated
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