Name *

First Name

Last Name

Preferred Name

First Name

Last Name

Spouse's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

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Work Phone

(###)

###

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Cell Phone

(###)

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I am joining Eastbridge Presbyterian Church . . .

By Profession of Faith (This is the first church I've joined since becoming a Christian)

By Reaffirmation of Faith (I have been a Christian for a time but have seen God do a significant new work in my life since my previous church involvement.) Check this if obtaining a transfer letter will be difficult.

By Letter of Transfer which I wish Eastbridge to request from the church listed below.

Baptism

(Please contact the church office to schedule)

I wish to be baptized in obedience to Christ's command.

I would like to have my child(ren) baptized.

Were you a member in good standing in your former church and are you on good terms now?

Yes

No

Are you an ordained officer?

Yes

No

I was introduced to Eastbridge Presbyterian Church in the following manner:

By an Eastbridge member

By a non-member friend

Someone at a former church

Website

Saw the building

Received something in the mail

Other

I wish to join a Sunday School class

Yes

No

I wish to join a Community Group

Yes

No

I wish to join a Bible Study

Yes

No

I sing and/or play a musical instrument and would like more information on serving in the music ministry

List instrument(s) and or voice part in the additional information box below

Yes

No