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Head of Household

Title

Mr.Mrs.Miss.Ms.

Dr.Rev.Other

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Other Title

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Name: (First - Middle or Maiden - Last)*

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Preferred or Nickname

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Birthday

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Home Address

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Spouse

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Mr.Mrs.Miss.Ms.

Dr.Rev.Other

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Other Title

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Name: (First - Middle or Maiden - Last)

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Preferred or Nickname

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Birthday

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Home Address

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City

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State

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City

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State

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Zipcode

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Mailing address same as above?

YesNo Invalid Input

Mailing Address

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Zipcode

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Mailing address same as above?

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Mailing Address

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City

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State

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City

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State

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Zipcode

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Check preferred method for contacting you

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Home Phone

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Cell Phone

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Work Phone

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Email*

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Emergency Contact Name

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Emergency Contact Phone Number

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Occupation

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Marital Status

SingleMarriedWidowedDivorced

SeparatedPartnershipOtherPrefer not to say

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Anniversary

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Baptized

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Baptized Date

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Zipcode

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Check preferred method for contacting you

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Home Phone

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Cell Phone

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Work Phone

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Emergency Contact Name

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Emergency Contact Phone Number

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Occupation

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Marital Status

SingleMarriedWidowedDivorced

SeparatedPartnershipOtherPrefer not to say

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Anniversary

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Baptized

YesNo Invalid Input

Baptized Date

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Hobbies/Interests

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Children

Child's Name

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Birthday

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Grade Level

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Baptized?

YesNo Invalid Input

Date

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Hobbies/Interests

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Child's Name

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Birthday

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Grade Level

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Baptized?

YesNo Invalid Input

Date

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Hobbies/Interests

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Child's Name

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Birthday

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Grade Level

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Baptized?

YesNo Invalid Input

Date

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Hobbies/Interests

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Child's Name

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Birthday

/ / Invalid Input

Grade Level

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Baptized?

YesNo Invalid Input

Date

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Hobbies/Interests

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Child's Name

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Birthday

/ / Invalid Input

Grade Level

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Baptized?

YesNo Invalid Input

Date

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Hobbies/Interests

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Child's Name

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Birthday

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Grade Level

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Baptized?

YesNo Invalid Input

Date

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Hobbies/Interests

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Talents/Skills

Head of household

AdministratorCookingPianist/OrganistArtistDramaSingingCaregiver

ElectricalTeachingCarpentryGuitarMarketingComputer/WebsiteMusic

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Leaders

Head of household

Choir DirectorTreasurerGreetersWorship Leader

Interim BoardVacations Bible School VolunteersSunday School Director

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Activities

Head of household

Vacation Bible School HelperChic-A-Que Volunteer

Young AdultsYouth Groups

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Spiritual Gifts

Head of household

AdministrationsGivingShepherd’s Card MinistryEncouragement

MercyEvangelismTeaching

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Willing to Serve

Head of household

VisitationHospitalityVacation Bible School HelpFinancesMaintenance/GroundsOther:Greeter

MusicShepherd’s Card MinistryNurseryAcolyteTeachingChic-A-Que VolunteerSermon Readers

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Other:

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Talents/Skills

Spouse

AdministratorCookingPianist/OrganistArtistDramaSingingCaregiver

ElectricalTeachingCarpentryGuitarMarketingComputer/WebsiteMusic

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Leaders

Spouse

Choir DirectorTreasurerGreetersWorship Leader

Interim BoardVacations Bible School VolunteersSunday School Director

Invalid Input

Activities

Spouse

Vacation Bible School HelperChic-A-Que Volunteer

Young AdultsYouth Groups

Invalid Input

Spiritual Gifts

Spouse

AdministrationsGivingShepherd’s Card MinistryEncouragement

MercyEvangelismTeaching

Invalid Input

Willing to Serve

Spouse

VisitationHospitalityVacation Bible School HelpFinancesMaintenance/GroundsOther:Greeter

MusicShepherd’s Card MinistryNurseryAcolyteTeachingChic-A-Que VolunteerSermon Readers

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Other:

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Comments

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