ST. ANDREW PRESBYTERIAN CHURCH MEMBER INFORMATION
Full Legal Name (First, Middle, Last)
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Address (Street, City, Zip Code)
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Home Phone
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Cell Phone
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Email
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Date of Birth ( Year is optional)
MM
/
DD
/
YYYY
Marital Status
Spouse Name(First, Middle, Last)
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Wedding Anniversary Date
MM
/
DD
/
YYYY
Spouse's Email
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Spouse's Date of Birth (Year optional)
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Spouse's Cell Phone #
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Do you wish to have your information included in the Church directory that is distributed to members.
Children- Living at home or in college (Please List Full Name, Date of Birth, Current Grade, Baptized( If yes, Month & Year)
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