New Member Info | First Baptist Church of Miami, AZ

If you are interested in joining our church, please fill out the information below:

Primary Name: (Required)

Primary Birthday:

Primary Phone:

Primary Email Address:

Primary: Trusted Jesus as Savior? (Required)

Primary Salvation Date:

Primary: Been Baptized? (Required)

Primary Baptism Date:

Spouse:

Spouse Birthday:

Spouse Phone:

Spouse Email Address:

Spouse: Trusted Jesus As Savior?

Spouse Salvation Date:

Spouse: Been Baptized?

Spouse Baptism Date:

Family Address: (Required)

Wedding Anniversary:

How many children still living at home under 18:

Names and Birthdays of Children:

Additional Information:

First Baptist Church of Miami, AZ