2022 CHURCH CENSUS
We're updating our records to best serve you and your family. Please complete ONE census per family.
I am a:
*
Please select all that apply.
Member
Attendee
Visitor
Full Name
*
NickName
Email
*
This address will receive a confirmation email
Phone
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Birthday
*
SPOUSE INFORMATION
My spouse is a
Please select one option.
Member
Attendee
Visitor
Full Name
Nickname
Phone Number
E-Mail
Spouse Birthday
Anniversary
I have completed a profile in the church database
*
Please select one option.
Yes
No
CHILDREN INFORMATION
Children living in your household under the age of 18
CHILD 1
Full Name
Nickname
Birthdate
Grade
Gender
Please select one option.
Male
Female
CHILD 2
Full Name
Nickname
Birthday
Grade
Gender
Please select all that apply.
Male
Female
CHILD 3
Full Name
Nickname
Birthday
Grade
Gender
Please select all that apply.
Male
Female
*Please list any additional children here with the following information: Full Name, Birthday, and gender
Submit
Description
We're updating our records to best serve you and your family. Please complete ONE census per family.
×
Please Fix the Following