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*Registration Option Register a New Family Update an Existing Family *ID/Env:  

Head of Household
*First Name *Last Name
  Birth Date *Gender Female   Male
Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Ministries   Name Interest
  
  
  
  
  
  
  
  
  
  
Remarks    

Spouse
  First Name   Last Name
Relationship   Middle Name   Nickname Maiden Name
  Birth Date   Gender Female   Male
Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Ministries   Name Interested in Joining
  
  
  
  
  
  
  
  
  
  
Remarks    

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
Email
*Email   Unlisted

Pledges
Pledge 1   Name Tithing
  Pledge for
  Start from    to   
  Frequency
  Total
  Rate

Total All Pledges = $0.00

Member 1   Type  
  First Name   Last Name
  Birth Date   Gender Female   Male
Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Ministries   Name Interested in Joining
  
  
  
  
  
  
  
  
  
  
Remarks    


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