Liberty Bapist Church
Liberty Baptist - Personal & Family Information
This is form is to help us communicate with you regarding upcoming events, activities, and groups that you have interest in.
1
Basic Information
2
Contact Information
3
Family Information
4
Church Ministry Information
Information all about you!
Some brief information to understand more about you.
Name
Title
First
Last
Suffix
Please list your full name.
Name you wish to be called by:
Nickname, etc.
Date of Birth
MM
/
DD
/
YYYY
Yes, we need to know the year, too.
High School Graduation Year
Marital Status
Single
Married
Divorced
Seperated
Widow/Widower
Date of Marriage
MM
/
DD
/
YYYY
Family Position
Husband
Wife
Son
Daughter
Other
If Family Position is other, please specify
Occupation
Employer
Faith Background
Anglican
Assembly of God
Baptist
Catholic
Episcopal
Non-Denominational
Pentecostal
Other
If Faith Background is other, please specify
Disabilities
Hobbies
Talents
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4
Do Not Fill This Out