Name(Required)Enter the Name of the Head of HouseholdSpouse NameEnter your Spouse's Name. If single, leave this field blankDate of BirthEnter your Date of BirthSpouse Date of BirthEnter your Spouse's Date of BirthMembership Status Yes No Do you wish to be counted as a member of the Unity Worship Center?Contact InformationThis section contains your contact information (address, phone, and email)Address(Required)Enter your address (house number and street name)City(Required)Enter your CityState(Required)Enter your StateZip Code(Required)Enter your zip codePhone Number(Required)Enter your Phone NumberEmail Address(Required)Enter your Email AddressChildren Living At HomeIn this section, enter the information for any minor children living in your household. Adult children should complete their own Membership Update form.First ChildEnter the Name of your childChild's BirthdayChild Gender Male Female Select your Child's GenderSecond ChildEnter the Name of your childChild's BirthdayChild Gender Male Female Select your Child's GenderThird ChildEnter the Name of your childChild's BirthdayChild Gender Male Female Select your Child's GenderFourth ChildEnter the Name of your childChild's BirthdayChild Gender Male Female Select your Child's GenderIf you have more than 4 children, send an email to the church clerk with the information for the additional childrenNameThis field is for validation purposes and should be left unchanged. Δ
