Ascension Baptist Church

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Update Your Information

Have you moved or changed contact information? If so, please complete this short membership profile update form so that we can keep our records current.

Information Update Form

    Your Information

    Name *

    Email Address *

    Telephone Number *

    Date of Birth *

    Home Address Line 1 *

    Home Address Line 2

    Home City *

    Home State *

    Home Zip / Postal Code *


    Emergency Contact Information

    Emergency Contact's Name *

    Emergency Contact's Phone *

    Emergency Contact's Email *

    Emergency Contact's Relationship to You *

    Come Worship with us each Sunday at 10:30am!