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Canaan Baptist Church
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Membership
Name
Title
Gender
Address
Telephone Number
Date of Birth
Email Address
Parent/Guardian (if child)
United How (restoration, letter, candidate, Christian experience)
(How were you Baptized if by Letter or Christian Experience (immersion, sprinkled, other)
Previous Church & Pastor
Previous Church Address
Marital Status
Emergency Contact
Emergency Contact Relationship
Emergency Contact Address
Emergency Contact Phone Number
Your Education (grade school, high school, GED, college, post-graduate)
Your Occupation
Your Hobbies
Talents/Gifts/Abilities/Skills
Involvement in Previous Church (if Any)
New Members Class Completed on (date)
Submit