PUMC July 2020 Audit -- MG

Please help keep our church data up to date.

Individual Household Member

Name

*

Cell Phone

*

Use 000-000-0000 as cell for a child

Email

*

This address will receive a confirmation email

Use a parent's email for a child

Home Address & Phone

Address

*

Home Phone

DoNot List

Please select all that apply.

Home Phone Cell Phone Address Email

Occupation

Demographic Information (for conference reporting)

Birthdate

*

Gender

*

Please select one option.

Female Male Other

Marital Status

*

Please select one option.

Single Married child/youth Widow Divorced Separated

Select child for a child

Grade

*

Please select one option.

Pre-K K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th College Adult

Preferred Pronouns

Please select one option.

She/Her/Hers He/Him/His They/Them/Theirs

Ethnicity

*

Please select one option.

Asian Black Hispanic/Latino Native American Pacific Islander White Multiracial

Country of Birth

Languages

Comments/Questions/Concerns

Submitted Date

*

Description

Please help keep our church data up to date.

Please Fix the Following

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