Baptism Membership Form

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Baptism Membership Form

If you have spoken with one of our ministerial staff about becoming a member of First Lavaca through baptism, please complete the form below.

First Name

Last Name

Email

Phone

Birthday

Street Address

Street Address Line 2

City

State

Zip code

Marital Status: *

Single

Married

Widowed

Divorced

Spouse's First Name

Spouse's Last Name

Spouse's Email Address

Spouse's Phone Number

Spouse's Birthday

Please include below for each of your children:

How long have you attended First Lavaca?

Who/What led you to attend First Lavaca?

Are you involved in a Sunday School class? *

Yes

No

If so, who is your Sunday School teacher?

Which areas of ministry are you interested in getting involved with at First Lavaca? (Select all that apply)

First Impressions

High School Ministry

Kids Ministry

Kitchen/Food Service

Livestream Ministry

Media/Tech Ministry

Middle School Ministry

Prayer Team

Safety Team

Worship Ministry

Would you like to be included in the church directory? *

Yes

No

Thanks for submitting!

(479) 674-2293 | info@firstlavaca.com | 100 West Main Street Lavaca, AR 72941

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