Living Hope Health Ministries Membership

Name(Required)
Address(Required)
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List of family members and dependents 17 and younger to be included in my membership: (Children)
Child Name
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Child Name
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Child Name
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Child Name
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Child Name
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I confidently apply to join this Organization, under the Laws of the Church, Section Two of the 1982 Canadian Charter of Rights and Freedoms and the Bill of Rights in the US Constitution. I hereby claim sanctuary under these rights and freedoms, and in token hereof sign this application without prejudice.
Terms(Required)
Clear Signature