Membership Type
Must
Choose 1 |
|
Information About You |
Full Name |
* |
Address |
* |
City |
* |
State |
* |
Zip Code |
* |
Country |
|
Telephone No: |
* |
Telephone No (Cell) |
|
Other Phone No: |
|
email address |
* |
Repeat email address |
* |
Date of Birth |
Month: Date: Year (4
digits., eg. 1975):
|
Your
Occupation (Profession) |
|
Home Parish Info
(Church Name, City,
State, Country) |
|
Baptism Info
(Date of Baptism, Name, City,
State and
Country of Church
where baptism was held) |
|
Gender |
* |
Your Age |
|
Marital Status |
* |
No of children |
* |
Educational Institution
Info
(For Student Members Only) |
|
Information About Your Spouse
Skip
this section if you do not have a spouse. |
Full Name of your spouse |
* |
Your spouse's Profession |
|
Spouse Date of Birth |
Month:
Date:
Year (4
digits., eg. 1975):
|
Spouse Phone |
|
Spouse
Cell Phone |
|
Spouse email address |
* |
Spouse email address
(Repeat) |
* |
Spouse Home Parish Info
(Church Name, City,
State, Country) |
|
Spouse Baptism Info
(Date of Baptism, Name, City,
State and Country of Church
where baptism was held) |
|
Marriage Date |
Month:
Date:
Year (4
digits., eg. 1975):
|
Marriage Held at:
(Name of church, city,
state, Country) |
|
Information About Your Children
Skip this section if you do not have any
children. Otherwise fill in the info for your
children |
Information About Child #1 |
Full
Name |
* |
Gender |
* |
Date of Birth |
Month:
Date:
Year (4
digits., eg. 1975):
|
Child Baptism Info
(Date of Baptism, Name, City,
State and
Country of Church
where baptism was held) |
|
Information About Child #2 |
Full
Name |
* |
Gender |
* |
Date of Birth |
Month:
Date:
Year (4
digits., eg. 1975):
|
Child Baptism Info
(Date of Baptism, Name, City,
State and
Country of Church
where baptism was held) |
|
Information About Child #3 |
Full
Name |
* |
Gender |
* |
Date of Birth |
Month:
Date:
Year (4
digits., eg. 1975):
|
Child Baptism Info
(Date of Baptism, Name, City,
State and
Country of Church
where baptism was held) |
|
Information About Child #4 |
Full
Name |
* |
Gender |
* |
Date of Birth |
Month:
Date:
Year (4
digits., eg. 1975):
|
Child Baptism Info
(Date of Baptism, Name, City,
State and
Country of Church
where baptism was held) |
|
Information About Child #5 |
Full
Name |
* |
Gender |
* |
Date of Birth |
Month:
Date:
Year (4
digits., eg. 1975):
|
Child Baptism Info
(Date of Baptism, Name, City,
State and
Country of Church
where baptism was held) |
|
Information About Child #6 |
Full
Name |
* |
Gender |
* |
Date of Birth |
Month:
Date:
Year (4
digits., eg. 1975):
|
Child Baptism Info
(Date of Baptism, Name, City,
State and
Country of Church
where baptism was held) |
|
Thank you.
Now click on
"Register Me" button below so we will enter your
application
Your registration is not complete until you
click on this
|