Sanctuary Church Steward Membership Form

Name (Required)

Email Address (Required)

Date (Required)

When can we celebrate your birth date?

Date You Joined Our Family: (Required)

Joined by: Please make selection below (Required)

If you joined by Watch Care, please note how long you anticipate being under Watch Care:

Have you been Baptized? (Required)

If yes, when were you Baptized?

Address: (Required)

Cell Phone Number: (Required)

Other Phone: (Required)

Occupation:

Marital Status (Required)

Single

Married

Widowed

Divorced

Separated

If married, spouse's name:

Spouse's birth celebration date:

Child 1 - Name:

Child 1 - Birth celebration date:

Child 2 - Name:

Child 2 - Birth celebration date:

Child 3 - Name:

Child 3 - Birth celebration date:

Child 4 - Name:

Child 4 - Birth celebration date:

Child 5 - Name

Child 5 - Birth celebration date:

Who Can we Contact If You Experience An Emergency: (Required)

Relationship:

Emergency Contact Phone Number:

Special Notes

Solve 8 + 1 = ?

Sanctuary Church

3201 W. 15th Street, Plano, TX 75075

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