Member Registration
Please fill out this form and click submit.
Name/nom
*
Phone/telephone
*
Address/adresse
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Date of birth
*
Email
*
This address will receive a confirmation email
Date of Membership
*
Are you Baptized
*
Please select one option.
Yes
No
Select Option
Yes
No
Do you Have Children?
*
Please select all that apply.
Yes
No
List Names of Spouse or Children (if they are apart of the church)
*
Marital Status
*
Please select one option.
Married
Single
Are You Employed?
*
Please select one option.
Yes
No
Looking For Work
Select Option
Yes
No
Looking For Work
Submit
Description
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