Next Steps

Welcome to Antioch Christian Fellowship
Please complete the Next Steps form so we may get to know you better.

Date

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Name

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Date of Birth

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Gender

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Please select all that apply.

Male Female

Address

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Apartment Number

Email

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This address will receive a confirmation email

Mobile

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Marital Status

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Please select one option.

Single Married Divorced Widowed

Spouse Name

Gender

Please select all that apply.

Male Female

Date of Birth

Mobile

Email

This address will receive a confirmation email

Household | Name(s) and Date(s) of Birth of Child(ren)

Membership Type. Please check all that apply.

*

Please select all that apply.

New Member V-Member New Believer: I just accepted Jesus as my savior Baptism Candidate: I want to be baptized

In your personal opinion, how can a person gain access to heaven?

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Baptized Believer?

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Please select one option.

Yes No

Accepted or Rejected Gospel Y/N

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Please select one option.

Yes No

Do you have an immediate need for prayer?

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What Areas of Ministry are you interested in?

What attracted you to Antioch Christian Fellowship

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How did you hear about us?

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Please select one option.

Referral/ Walk In Social Media Website

For Office Use Only

Picture File Number

Intake Personnel

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Please select one option.

Online/Self Brandon Carter Latrecia Carter Vincent Ebron Sharon Ebron Tony Frierson Latresha Stewart Terrion Talley Devin Talley

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Welcome to Antioch Christian Fellowship
Please complete the Next Steps form so we may get to know you better.

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