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TLC Church Membership Information Form
Name: ____________________________________________________________________________
Spouse Name: ______________________________________________________________________
Children’s Names and Ages: ___________________________________________________________
___________________________________________________________________________________
Phone Number: ___________________________ Cell Phone Number: _______________________
Address: ___________________________________________________________________________
City: _______________________________ State: ________________ Zip Code: ________________
E-Mail Address(1): __________________________________________________________________
Email Address(2): ___________________________________________________________________
I would like to be added to the TLC Church E-mail Distribution List. ( ) Yes ( ) No
I am interested in the Membership Disciple Classes. ( ) Yes ( ) No
I am interested in joining a Bible Study Group. ( ) Yes ( ) No Type of Group: ________________
I am interested in joining a TLC Ministry. ( )Yes ( ) No Ministry: ____________________
I am interested in Baptism by Immersion. ( ) Yes ( ) No Baptism Date: ________________
Prior Church Home: ________________________________________________________________
How did you hear about TLC Church? __________________________________________________
Other: __________________________________________________________________________
________________________________________________________________________________
(Print form, complete and return to one of our Church Staff Members)
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