ACK Emmanuel Church Kikuyu Membership Renewal & Registration Form

Your First Name

Your Middle Name

Your Surname

Your Date Of Birth

ID/Passport No.

Your Nationality

What Is Your Nationaltiy?

Your Gender

Your Best Phone Number

Country code

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Phone number

Your Best Email

Your Occupation

Your Next of Kin

Your Kin's Best Phone Number

Country code

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Phone number

Your Marital Status

Your Spouse's Name

Your Marriage Type

Is Your Spouse A Member of Emmanuel Church Kikuyu?

Do You Have Children?

Your Child's/Children's Name & Age (One Per Line)

You Are Anglican By

Which Was Your Previous Church?

Your Cell Group

Have You Been Baptized?

Have You Been Confirmed?

Are You Born Again?

Which Sunday Service Do You Prefer?

Your Gifts/Talents & Areas Where You Can Serve In Church

Your Signature

I agree that my typed name below will be as valid as a handwritten signature to the extent allowed by local law

Date