Covenant Church Information Update
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Legal Name *
Preferred Name (if different than above)
Birthday
MM
/
DD
/
YYYY
Mailing Address: Number & Street Name *
Mailing Address: Unit Number (if applicable)
Mailing Address: City/Town *
Mailing Address: Postal Code *
 Phone number - Preferred (to be shared in a print directory) *
Is your preferred number: *
 Phone number - Other
Is your other phone number:
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Are you open to receive text messages from staff at your cell number? *
Email - For email lists and general communication *
Email List Preferences *
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