NFC Roster of Members/Attenders
Name *
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Cell phone
(add * if you do not want this published)
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E-mail address
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Your answer
Date of birth (month/day/year)
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Your answer
Membership *
Spouse Name
Your answer
Spouse cell phone
(add * if you do not want this published)
Your answer
Spouse e-mail address
(add * if you do not want this published)
Your answer
Spouse date of birth (month/day/year)
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Your answer
Membership
Home address (street) *
Your answer
Home address (city/state/zip) *
Your answer
Home phone (if applicable)
Your answer
#1 Child living at home
Your answer
Grade and date of birth (month/day/year)
(this info will not be published)
Your answer
Membership
#2 Child living at home
Your answer
Grade and date of birth (month/day/year)
(this info will not be published)
Your answer
Membership
#3 Child living at home
Your answer
Grade and date of birth (month/day/year)
(this info will not be included in the directory)
Your answer
Membership
#4 Child living at home
Your answer
Grade and date of birth (month/day/year)
(this info will not be published)
Your answer
Membership
#5 Child living at home
Your answer
Grade and date of birth (month/day/year)
(this info will not be published)
Your answer
Membership
Comments
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