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Date of Service Attended:
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Service Time Attend:
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Sunday ( 8:00 AM )
Sunday ( 11:00 AM )
Thursday ( 7:15 PM )
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Your decision today ( Please check one or more )
Church Membership
Receive Christ As Your Savior
Infilling of Holy Spirit
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Last
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Jr.
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Address
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Church Membership
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Gender
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Martial Status
Single
Married
Divorced
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Spouse's Name
If your spouse desires membership, he / she must complete a separate form.
Wedding Anniversary Date
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Former Church Name
Children living at home who will be attending church
Child 1 Name
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Child 1 Gender
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Child 2 Name
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Child 2 Gender
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Child 3 Name
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Child 3 Gender
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Child 4 Name
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Child 4 Birthday
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Child 4 Gender
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Volunteer
Check the area in which you would like to volunteer:
Office / Mail Volunteer
Greeter
Usher
Women of Faith
Choir / Music Department
Bus Ministry
Sunday School
Youth ( Teenagers )
Youth ( Nursery )
Youth ( Children's Church )
Pastor's Helpers
Book & Tape Ministry
Soul Winning / Outreach
Men's Fellowship
Women's Fellowship
Counselor / Alter Worker
Married Couples
Singles Ministry
Building / Church Maintenance
TV / Radio Ministry
Special Events
O.A.S.I.S. ( Older Adults Still In Service )
Audio / Sound
Extended Hands Ministry
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Membership Pledge
I understand that membership in a church is meaningless, unless, the individual has made a decision to accept Christ as Savior. I hereby certify that I have made that decision regarding my responsibility as a member of LPH Family. I hereby pledge that I am willing to be instructed regarding the doctrine of the Church. I further hereby pledge that I, to the best of my ability, will seek to live and think in accordance with those doctrines and responsibilities.
Signature
Clear Signature"
Date
Email
Submit