Member Information Form Head of Household Title: Mr.Mrs.Miss.Ms.Dr.Rev.Other. Name: (First - Middle or Maiden - Last) Sex: MaleFemale Birthday: Preferred or Nickname: Address (City, State / Zip): Home Phone: Cell Phone: Work Phone: Your Email (required) Marital Status: Anniversary Date: Occupation: Employer: Member Status: Church Background: Baptized: YesNo Spouse Title: Mr.Mrs.Miss.Ms.Dr.Rev.Other. Name: (First - Middle or Maiden - Last) Sex: MaleFemale Birthday: Preferred or Nickname: Address (City, State / Zip): Home Phone: Cell Phone: Work Phone: Your Email Marital Status: Anniversary Date: Occupation: Employer: Member Status: Church Background: Baptized: YesNo Child 1 Name (first, middle, last): Birth Date: Grade: Baptized: YesNo Cell Phone: Child 2 Name (first, middle, last): Birth Date: Grade: Baptized: YesNo Cell Phone: Child 3 Name (first, middle, last): Birth Date: Grade: Baptized: YesNo Cell Phone: Child 4 Name (first, middle, last): Birth Date: Grade: Baptized: YesNo Cell Phone: Child 5 Name (first, middle, last): Birth Date: Grade: Baptized: YesNo Cell Phone: Child 6 Name (first, middle, last): Birth Date: Grade: Baptized: YesNo Cell Phone: Comments (Skills, Leaders, Activities, Spiritual Gifts, Willing to Serve):