Greater Parkview Church Member Information Form
This form is to be used to update all information i.e. Phone #, Address, New Births, etc. put an N/A in any space that does not apply to you. EVERYONE who is a member and 18+ is REQUIRED to fill out this form. ONLY one spouse need to list the children under 18.
First Name *
Last Name *
Current Home Address (Street Number, City, State, Zip Code) *
Phone Number (area code and number) *
Cell or Landline *
Required
Email Address *
Personal Information
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Marital Status *
Wedding Anniversary Date
MM
/
DD
/
YYYY
Spouse Name
Spouse Member or Non-member
Virtual Church Membership
Occupation *
Minor Children Living at Home NAME
Minor Childs Date of Birth
MM
/
DD
/
YYYY
Was Minor Child Baptized
Clear selection
Minor Childs NAME
Minor Childs Date of Birth
MM
/
DD
/
YYYY
Was Minor Child Baptized
Clear selection
Minor Children Living at Home NAME
Minor Childs Date of Birth
MM
/
DD
/
YYYY
Was Minor Child Baptized
Clear selection
Minor Childs NAME
Minor Childs Date of Birth
MM
/
DD
/
YYYY
Was Minor Child Baptized
Clear selection
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