Membership Information Update Form
Thank you for taking the time to update our records. In providing these details, we ensure that it will only be used for church purpose as well as providing you with information about what's going on at your church.

*Please note, each person in your household (including children) should complete an individual form
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First Name *
Last Name *
Address *
Street
Apt#
*
City, State (ex. Oakland, CA)
*
Zip Code
Telephone Number (Please provide at least one mode of telephone communication-text message updates available for cell phone numbers provided)
Home phone
Cell phone
Email Address *
Providing an email address is a vital part of communicating with our members.
Gender *
Date of Birth *
ex. March 1, 1984 as 03/1/1984
Emergency Contact
Please provide contact information for someone you would prefer the church to contact in case of an emergency. Name, relationship to individual, and phone number(s)
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