Membership Interest Form — Hayes Barton Baptist Church

Interest in Membership FORM

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Birthdate

YYYY

Parents: (if under 18)

Do you have extended family at HBBC?

Yes

If yes, please list your extended family members.

Please list the names, relationships, and birth dates of each family member.

Received by:

Profession of faith and baptism

Transfer of membership from a church of another denomination

Transfer of letter from another Baptist church

Request Baptism

Name and address of previous church, if applicable.

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