New member registration

New member Registration Form - Haitian American Community Church of Silicon Valley. For details about the church structure please visit www.haitianchurch.org/membership. Please fill out the Form. Thanks in advance.

Sexe: MaleFemale

Birth Date: ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember, ---12345678910111213141516171819202122232425262728293031,

Baptismal status: BaptizedUnbaptized

Marital status: MarriedSingleDivorcedSeparatedWidowed

By checking this box I do accept to be a member of the Haitian American Community Church of Silicon Valley(HACC)

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