New Member Registration

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Your Name:

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Child/Minor Applicant:*

YES

(if yes, please include name, mobile phone number, and email of parent or guardian)

Parent/Guardian Name:

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Last

Parent/Guardian E-mail:

Parent/Guardian Mobile Phone:

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Parent/Guardian Name: (1)

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Parent/Guardian E-mail:(1)

Parent/Guardian Mobile Phone:(1)

Area Code

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Method of Uniting

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*Former Church

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Join Third Baptist Church!