Metropolitan Interdenominational Church

Registration of Membership

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Name


First Name	Last Name

Birthday (type in the date or click on oldest date in drop down box to find correct year)

Click in box to select date

Date Joined

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Are you a candidate for baptism?

Select one

Yes
No

Fellowship Circle?

Select one

Home Address

Home Phone

Phone Number

Cell Phone

Phone Number

Personal Email

Email Address

Occupation

Company Name

Business Address

Business Phone

Phone Number

Business Email Address

Email Address

Relationship Status (Married/Partnered/Single/Divorced/Widowed)

Name of Spouse/Partner


First Name	Last Name

Spouse/Partner's Date of Birth (type in the date or click on oldest date in drop down box to find correct year)

Click in box to select date

Wedding/Commitment Anniversary Date(type in the date or click on oldest date in drop down box to find correct year)

Click in box to select date

Talents/Skills

Children


First Name	Last Name


First Name	Last Name


First Name	Last Name

More Information

* required