Tell Us About Yourself!Please fill out this form for each member of your household so we can better serve you. Adult Adult Member Information Name * First Name Last Name Phone * (###) ### #### Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Gender * Male Female Birthdate * MM DD YYYY Marital Status * Single Married Widowed Divorced Are you baptized? * Yes No If yes, when were you baptized? (If known) MM DD YYYY Are you confirmed? * Yes No If yes, when were you confirmed? (If known) MM DD YYYY Do you have any hobbies or passions? * What is your career? * Thank you for taking the time to fill out this membership form! We appreciate it! Child Child Information Name * First Name Last Name Gender * Male Female Birthdate * MM DD YYYY Grade Not yet school age Preschool/PreK 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Is your child baptized? * Yes No If yes, when? (If known) MM DD YYYY Is your child confirmed? * Yes No If yes, when? (If known) MM DD YYYY Thank you for taking the time to fill out this membership form! We appreciate it!
