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Head of Household Information
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Last
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Female
Male
Marital Status
Single
Couple
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Date Format: MM slash DD slash YYYY
Email
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Church Name
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Last Name When Joined
I want to get involved! I would like to know about:
Adult Sunday School
Children (thru 5th grade)
Student Ministries (6th-12th grade)
Wednesday Night Studies
Music Ministry
Serving in Missions
Bible Study/Prayer
Care & Support
Recreation
Welcoming/Outreach
Areas currently involved in:
Spouse Information
Spouse Joining
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First
Last
Gender
Female
Male
Marital Status
Single
Couple
Married
Birthdate
Date Format: MM slash DD slash YYYY
Email
Cell Phone
Baptized
Yes
No
Member of Another Church
Yes
No
Church Name
*
Last Name When Joined
I want to get involved! I would like to know about:
Adult Sunday School
Children (thru 5th grade)
Student Ministries (6th-12th grade)
Wednesday Night Studies
Music Ministry
Serving in Missions
Bible Study/Prayer
Care & Support
Recreation
Welcoming/Outreach
Areas currently involved in:
Child Information
Child 1 Name
First
Middle
Last
Preferred/Goes By Name
Date of Birth
Date Format: MM slash DD slash YYYY
Gender
Male
Female
Email
Cell Phone
Baptized
Yes
No
Confirmed
Yes
No
Child 2
Child 2 Name
First
Middle
Last
Preferred/Goes By Name
Date of Birth
Date Format: MM slash DD slash YYYY
Gender
Male
Female
Email
Cell Phone
Baptized
Yes
No
Confirmed
Yes
No
Child 3
Child 3 Name
First
Middle
Last
Preferred/Goes By Name
Date of Birth
Date Format: MM slash DD slash YYYY
Gender
Male
Female
Email
Cell Phone
Baptized
Yes
No
Confirmed
Yes
No
Other Helpful Information
How did your family learn about VHUMC?
How frequently did you/your family attend church in the year before you began attending VHUMC?
Every Week
2-3 times a month
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A few times a year
Special occasions
Did not go regularly