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Membership, Prayer Request, and Pastor Contact
First Name
Last Name
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Phone Number
Email
Marital Status
Single
Married
Widowed
Separated
Divorced
I'd rather not say
First Name
Last Name
Phone Number
Email
First Name
Last Name
Grade
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Have you believed in Jesus Christ as your savior and trusted Him alone for everlasting life?
Yes
No
Would like to talk with a pastor
Have you been baptized by immersion after salvation?
Yes
No
Would like to be baptized
Have you been a member of another church?
Yes
No
Church Name & Location:
How long have you been attending Archer County Cowboy Church?
Less than 1 month
1–3 months
By applying for membership at Archer County Cowboy Church, I affirm that: ☐ I desire to grow in my relationship with Jesus Christ ☐ I affirm the authority of Scripture as God’s Word ☐ I commit to regular worship, prayer, and fellowship ☐ I desire to serve using my gifts as God enables ☐ I commit to unity, love, and biblical accountability within the church
I agree
I disagree
I am interested in serving in the following areas (check all that apply):Multiple Choice
Preschool / Children
Youth
Hospitality
Arena
Safety
Music
Facilities
Missions
Stewardship
Chuckwagon
Applicant Affirmation I am applying for membership at Archer County Cowboy Church and desire to walk in fellowship, service, and accountability within this local body of believers.
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