Church Records Update
We're updating the Church Records. This information is for the Church only.
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Email *
Your Name *
First & Last
Gender *
Birthdate *
MM
/
DD
/
YYYY
Household Address *
123 Alphabet Dr, Town, State, Zipcode
Primary Phone Number *
123-456-7899
Is this a Mobile Phone Number? *
Your Wedding Anniversary if Applicable.
MM
/
DD
/
YYYY
Please identify any accomodations you need. *
Check all that apply.
Required
I want to get involved/find out more about the following areas in the church... *
Check all that apply.
Required
Member Status *
Would you like to find out more about the church and possibly become a member?
*
Do you have other family members to add to this form?
*
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