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River's Edge Connect Class
We are excited that you have taken the next step at The River! Can you please complete the following form for you (or your family)? This will allow us to properly update our records. Thank you!
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Your first name
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Your answer
Your last name
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Your answer
Your birthdate
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MM
/
DD
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YYYY
Spouse's name (if not applicable enter NA)
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Your answer
Spouses birthdate (if applicable)
MM
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DD
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YYYY
Do you have children living at home? If so please list each child's name followed by their complete birth date: mm/dd/yyyy (if you have no children living at home please enter n/a) Example: John Doe, 01/23/2003, Mary Doe, 12/12/2010
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Your answer
E mail address
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Your answer
Spouse's e mail address (if not applicable please enter n/a)
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Your answer
Your cell phone number
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Your answer
Spouse's cell phone number (if not applicable please enter n/a)
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Your answer
Street Address
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Your answer
City
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Your answer
State
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Your answer
ZIP Code
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Your answer
Are you new to the Christian faith?
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Yes
No
Have you been baptized?
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Yes
No
Not sure
Has/have your child(ren) been baptized?
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Yes
No
N/A
Will you be joining The River at Eureka through a reaffirmation of faith profession of faith? (this means that you are not currently connected to a local church or have not been connected to a local church for at least 12 months)
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Yes
No
Will you be transferring membership from another UMC church?
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No
Yes
Will you be transferring membership from another church other than a UMC church?
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Yes
No
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