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* 1. Membership Classification

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* 2. Date of Membership

Date / Time

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* 3. Given Name

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* 4. Preferred Name

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* 5. Job/Occupation

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* 6. Birthday

Date / Time

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* 7. Sex

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* 8. Marital Status

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* 9. Spouse Information (if married)

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* 10. Spouse's Job/Occupation

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* 11. Spouse's Birthday (if married)

Date / Time

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* 12. Address

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* 13. Contact Information

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* 14. Spouse's Contact Number

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* 15. Emergency Contact Information

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* 16. Children 18 and under in your household

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* 17. What ministries or activities would you like to be involved in or have more information about?

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* 18. What ministries or activities have you been involved in either prior to joining Peter's Rock or while at Peter's Rock?

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