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Covenant Membership
New Member Questionnaire
First name
*
Last name
*
Address
*
Phone
*
Email
*
Birthday
*
Month
Month
Day
Year
Marital Status
*
Wedding Date
*
Occupation
*
Children’s Information (Name, DOB, Grade)
*
Previous Church Membership (if applicable)
*
How were you introduced to The Well
*
Gospel Community You Attend or Plan to Attend
*
Please share your story of how you came to “repent and believe in the gospel.”
*
Finish the following statement: I know I am a Christian because...
*
If you were baptized after you became a Christian, explain where and when this occurred. If not, simply state that you haven’t yet been baptized.
*
Submit
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