Good Shepherd Parish Registration

We are glad you have decided to register as a member of the Church of the Good Shepherd!

Registration is important for a number of reasons:

It gives the parish staff basic information to best serve your pastoral needs.
It enables us to provide you with information according to your interests.
Most importantly, it represents your choice to be an integral part of this Christian community!

Primary member

Title

First Name*

Middle Name

Last Name*

Please include TITLE: Mr., Mrs., Ms., etc.

Spouse

Title

First Name

Middle Name

Last Name

Please include TITLE: Mr., Mrs., Ms., etc.

First and Last Name(s) of Other Adult(s) in Household

Please follow this format: John Jones (Male); Louise Jones (Female); etc.

For each adult living in the house, include their gender following the format provided: NAME (gender)

First and Last Names of Child(ren) in Household

Please follow this format: Mark Jones (son); Melissa Jones (daughter); Marvin Gray (son)

For each child living in the house, include their Name and Family Role (Son or Daughter) following the format provided: NAME (FAMILY ROLE)

Primary Phone

Required* --

Secondary Phone

Email Address

Required*

Alternative Email Address

Home Address; Street, Apt/Unit #, City, State, Zip

Street 1*

Street 2

City*

State*

Zip*

Provide a complete address. Include APARTMENT/BOX/SUITE or UNIT NUMBER, if applicable. Example: STREET 1: 123 Beverly Dr STREET 2: Unit 101

Other Preferred Means of Communication? Please list here.

Would you like to receive Donation Envelopes?
Required*

Receive pre-printed donation envelopes mailed monthly to your address.*

	Yes
	No

If you plan to use the donation envelopes regularly, please answer YES. Otherwise, please click NO to help us save on postage.

Is this updated information?
Required*

Is any information you are providing an update to what is in our database?*

	This is brand new information for the Parish Database.
	This is an update to a current Household Listing.

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