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Faith Hope and Love Christian Ministries

Jesus loves you and so do we!

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Membership Form

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Membership Form

Membership Form (updated)

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Name *

First

Last

Date / Time

Date

Time

Address

Address Line 1

Address Line 2

City

State

Zip Code

Date of Birth

Phone

Email *

Please enter your email, so we can follow up with you.

Race/Ethnicity

Specify

Indicate what race you identify with.

How are you joining Faith Hope and Love? *

New Disciple (Baptism)
Letter
Christian Experience
Watch Care
Global Disciple

Global Disciple (desiring to connect with FHLCM and live outside of the Antelope Valley)

Have you been baptized?

Yes
No

What gifts and talents do you have?

Marital Status *

Please indicate your current status.

Do you want to add a spouse?

Spouse Name

First

Last

Spouse's Date of Birth 1

Spouse Baptized

Yes
No

Race/Ethnicity (Spouse)

Spouse (Other)

Indicate what race you identify with.

Add Child

Child 1

First

Last

Date of Birth 1

Baptized 1

Yes
No

Race/Ethnicity (Child 1)

Child 1 (Other)

Indicate what race you identify with.

Add Second Child

Child 2

First

Last

Date of Birth 2

Baptized 2

Yes
No

Race/Ethnicity (Child 2)

Child 2 (Other)

Indicate what race you identify with.

Add Third Child

Child 3

First

Last

Date of Birth 3

Baptized 3

Yes
No

Race/Ethnicity (Child 3)

Child 3 (Other)

Indicate what race you identify with.

Add Fourth Child

Child 4

First

Last

Date of Birth 4

Baptized 4

Yes
No

Race/Ethnicity (Child 4)

Child 4 (Other)

Indicate what race you identify with.

Are there additional children's to be added?

To add additional children's complete a new form.

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