Your Information
Please have every 18+ member of your household complete this survey as we are updating our church directory!  If you want to be removed from all communication from First Church--please note in the question below.
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LAST NAME *
FIRST NAME *
Email *
Date of Birth (if you are uncomfortable putting the year, please use the year 1925) *
MM
/
DD
/
YYYY
Mailing Address (please include zip code) *
Cell Phone *
Landline (if available)
Relationship the Church - CHECK ALL THAT APPLY *
Required
Do you have a favorite Bible Verse?  If so, which one! (You only need to include Chapter and Verse numbers :)) *
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