Membership Information Update

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* 1. Membership Number

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* 2. Select a four digit PIN (for future use)  (ex. 1234)

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* 3. Family Name (ex. Wright)

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* 4. Street Address (ex: 3022 Thompson Circle)

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* 5. Zip Code

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* 6. Primary Phone (ex. 256-536-5914)

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* 7. Mobile Phone (ex. 256-682-2521, Greg Cell)

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* 8. Primary email (ex. greg.wright@outlook.com)

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* 9. Secondary email (ex. wrighgm@gmail.com)

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* 10. Emergency Contact (NOT SOMEONE IN YOUR HOUSEHOLD)
(ex. Richard Wright, 256-536-9433)

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* 11. Member Name 1 (ex Greg Wright, 54)

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* 12. Member Name 2 (ex. Marshall Wright, 19)

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* 13. Member Name 3 (any member 14 or older)

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* 14. Member Name 4 (any member 14 or older)

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* 15. Member Name 5 (any member 14 or older)

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* 16. Member Name 6 (any member 14 or older)

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* 17. Member Name 7 (any member 14 or older)

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* 18. Babysitter Name (ex. Jane Dow)

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* 19. Comment Field

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