New Member Contact Information
Please complete the following information so that we can keep you informed of Shepherd happenings.
Your Contact Information
Last Name, First Name *
Home Address *
City, State, Zip *
Best Contact Phone Number *
Email Address
Would you like to receive weekly Shepherd e-Bulletins and bi-monthly newsletters?
Spouse Contact Information
Spouse's Last Name, First Name
Best Contact Phone Number
Spouse's Email Address
Would your spouse like to receive weekly Shepherd e-Bulletins and bi-monthly newsletters?
Childrens' Information
Child #1 Last Name, First Name
Child #1 Date of Birth
Child #2 Last Name, First Name
Child #2 Date of Birth
Child #3 Last Name, First Name
Child #3 Date of Birth
Child #4 Last Name, First Name
Child #4 Date of Birth
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