Date Joined (if possible)
Current Ministry(Ministries) Serving On
Sex: MaleFemale
Marital Status: SingleMarriedDivorcedWidowed
Birth Date:
Spouse Name:
Member: YesNo
Leader: YesNo
(This area is for children under age 21)
Member: If child only mark YES if they have been baptized here at the VALLEY
Do you consider yourself an onsite member or *online ONLY member? OnsiteOnline
*Online meaning you do not attend a physical location
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