My Info
Basic contact info to keep in touch with your Canaan family!!
FIRST NAME *
Your answer
LAST NAME *
Your answer
PREFERRED NUMBER *
XXX-XXX-XXXX
Your answer
TEXT? *
If UNABLE or PREFER NOT- "NO"
TYPE *
2ND NUMBER
XXX-XXX-XXXX
Your answer
TEXT?
If UNABLE or PREFER NOT- "NO"
TYPE
eMAIL *
If no email, please type "none"
Your answer
FULL ADDRESS *
Address, City, State, Zip
Your answer
MY FAMILY
Spouse, children (Not necessary, but love to know you better!)
Your answer
BIRTHDAY
MM
/
DD
SOMETHING ABOUT ME
Church office, ministry, skills, or just something cool!!
Your answer
THANKS FOR SUBMITTING!
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