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Your Personal Information
Full Name


Address


City, State, Zip Code


Birthdate

Home Phone

Work Phone


Cell Phone


E-mail
Spouses Personal Information
Full Name


Address


City, State, Zip Code


Birthdate
Home Phone

Work Phone


Cell Phone


E-mail
Children's Information
CHILD 1
Full Name

Birthdate

E-mail

CHILD 2
Full Name

Birthdate

E-mail
CHILD 3
Full Name

Birthdate

E-mail
CHILD 4
Full Name

Birthdate

E-mail
How Do You Desire to Join High Pointe Baptist Church?
Please check one:

If you checked "Letter", please tell us the
name and address of the church we
need to request your letter from
Would you care to make any other decisions today?

Profession of Faith
Special Service
Rededication
Special Prayer

What is your Special Prayer or Service?
How Does Your Spouse Desire to Join High Pointe Baptist Church?
Please check one:

If you checked "Letter", please tell us the
name and address of the church we
need to request your letter from
Would you care to make any other decisions today?

Profession of Faith
Special Service
Rededication
Special Prayer

What is your Special Prayer or Service?
Please Check the following box(es) if you have been ordained:
Deacon
Minister
Both my spouse and myself have read and agree to the Articles of Faith and Fellowship