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Tell us more about you and your family....
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Name
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First
Last
Spouse's Name (If Applicable)
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First
Last
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List Any Child(ren) You May Have In Household:
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Address
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Line 2
City
State
Zip Code
Country
Your Phone Number
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This phone number is a:
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Cell Number
Home Number
Other
Your Spouse's Phone Number (If Applicable)
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This phone number is a:
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Cell Number
Home Number
Other
Email
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Your Spouse's Email (if applicable)
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How do you, (and your spouse if applicable) prefer to be contacted?
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Phone Call
Text Message
Email
Face to Face
Facebook Messenger
Church Facebook Group
Best time of day to contact you and your spouse (if applicable)?
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Morning
Afternoon
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Anytime
Please list you, your spouse's and/or child(ren)'s (if applicable) birthdays. You do not have to put the year
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May we publish the above information in the church directory?
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If we acquire any photos from church events with you or your family members, may we have your permission to publish them to our website and/or social media?
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Comment
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Home
Service Times
Watch/Listen to the Service
What We Believe
Staff
Online Giving
Kids Ministries
Student Ministries
Contact Us
How can I serve?
Register for VBS
Member Information