Athena Baptist Church
Thursday, August 22, 2019
A Church Alive is Worth the Drive!

Membership Form

 
Please fill in the form and submit.  The Church secretary will receive this form.
 
 
Name:        
Address:  
City:    State   Zip: 
 
Date of Birth       
Marital Status:   If Married, Anniversary     
If married, spouse's name:  
 
If you have children, please list names and birthdays:
 
Home Phone:   Work Phone:   
Cell Phone: 
 
Date joined Church:   
How did you join: 
 
Name of Church Transferring from:      
Baptism Date:  
Any other comments: