MEMBERSHIP INFORMATION – RCGG Daystar Chapel, Fort McMurray

MEMBERSHIP INFORMATION

Title

First Name

Middle Name

Last Name

Suffix

Date of Birth

Gender

Marital Status

Address

City

Postal Code

Telephone Home

Telephone Cell

Telephone Work

Email *

Occupation/Profession

Marriage Date

Baptism Date

Church Rank for Member/Worker/Minister)

Department

Family Information

Spouse First & Middle Names

Spouse Date of Birth

Spouse Full Address & Telephone number

Spouse Baptism Date

Worker (Spouse) ?

Email Spouse

1. Child First & Middle Names

Child Date of Birth

Child Full Address & Telephone number

Child Baptism Date

Child (Worker) ?

Child Email

2. Child First & Middle Names

Child Date of Birth

Child Full Address & Telephone number

Child Baptism Date

Child (Worker) ?

Child Email

3. Child First & Middle Names

Child Date of Birth

Child Full Address & Telephone number

Child Baptism Date

Child (Worker) ?

Child Email

4. Child First & Middle Names

Child Date of Birth

Child Full Address & Telephone number

Child Baptism Date

Child (Worker) ?

Child Email

5. Others

Child Date of Birth

Child Full Address & Telephone number

Child Baptism Date

Child (Worker) ?

Child Email

The information collected in this form is for the purpose of keeping a database for the church, communication with members and for issuing tax receipts if applicable. The information will not be shared with any other party and will not be used for any other purpose outside what have been declared in this document without express permission of the owner.