Member Profile

Please provide your information so that we can verify and/or update your information in our Membership Database.  You can provide information using this form or get a paper copy of this form from the church office.  Paper copies can also be returned to the church office. We thank you in advance for your time, commitment and spirit in completing this task.  Please print clearly and complete the form and return by April 20, 2018.

* 1. Profile Information

* 2. Envelope Number

* 3. Please  provide your phone numbers.

* 4. Please place a check beside the preferred number for ROBO calls

* 5. Birthday - Please provide this information to help us with our monthly birthday lists and to determine demographic data for our church.

Birthday

* 6. If under 18 years of age, please provide your Parents'/Guardian's Name

* 7. Marital Status

* 8. Name of Spouse

* 9. Children in Household (under 18 years old)

* 10. Emergency Contact

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