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.

Profile Information

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* 1. Profile Information

Envelope Number

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* 2. Envelope Number

Please  provide your phone numbers.

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* 3. Please  provide your phone numbers.

Please place a check beside the preferred number for ROBO calls

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

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

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

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

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

Marital Status

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* 7. Marital Status

Name of Spouse

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* 8. Name of Spouse

Children in Household (under 18 years old)

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

Emergency Contact

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* 10. Emergency Contact

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