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Child Membership Application

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Child Membership

FIRST CHILD: Full Names / Volle Voorname:

FIRST CHILD: Surname / Van:

FIRST CHILD: Initials / Voorletters:

FIRST CHILD: Title / Titel:

FIRST CHILD: Birth Date / Geboorte Datum:

FIRST CHILD: Birth Place / Geboorte Plek:

FIRST CHILD: ID Number / Nommer:

FIRST CHILD: School Grade / Skool Graad:

FIRST CHILD: Cell Number / Sel Nommer:

FIRST CHILD: Email Address / Epos Adres:

FIRST CHILD: Are you baptised in the Holy Spirit / Is u gedoop in die Heilige Gees?

Yes

No

FIRST CHILD: If Yes, please supply date & place / Indien Ja, verskaf asseblief datum en plek:

FIRST CHILD: Are you baptised in water / Is u gedoop in water?

Yes

No

FIRST CHILD: If Yes, please supply date & place / Indien Ja, verskaf asseblief datum en plek:

SECOND CHILD: Full Names / Volle Voorname:

SECOND CHILD: Surname / Van:

SECOND CHILD: Title / Titel:

SECOND CHILD: Initials / Voorletters:

SECOND CHILD: Birth Date / Geboorte Datum:

SECOND CHILD: Birth Place / Geboorte Plek:

SECOND CHILD: ID Number / Nommer:

SECOND CHILD: School Grade / Skool Graad:

SECOND CHILD: Cell Number / Sel Nommer:

SECOND CHILD: Email Address / Epos Adres:

SECOND CHILD: Are you baptised in the Holy Spirit / Is u gedoop in die Heilige Gees?

Yes

No

SECOND CHILD: If Yes, please supply date & place / Indien Ja, verskaf asseblief datum en plek:

SECOND CHILD: Are you baptised in water / Is u gedoop in water?

Yes

No

SECOND CHILD: If Yes, please supply date & place / Indien Ja, verskaf asseblief datum en plek:

I hereby declare that the information given above is true to the best of my knowledge and belief. / Ek verklaar hiermee dat die inligting hierbo gegee, na die beste van my wete en oortuiging waar is.

YES

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ADDRESS

Cnr of Church & Walnut street
Rouxville, Kuils River,
South Africa, 7580

SERVICES

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Sundays 9:00am

Youth Fridays 19:00pm

CONTACT

reception@gen2gen.co.za
021 906 1986

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