Fellowsville AG Church Family Information

PLEASE START HERE:
Please list each family member's NAME AND BIRTHDAY in the field box below. Click on the Green + sign for each person you need to add.

Ex: John Smith 01/23

NOTE: If your family has 5 members in your household, you should have 5 entries here. (Don't forget to add their birthday!)

+-

The following information is for office/staff use only and will not be shared

Street Address or PO Box *

City/Town *

State *

County *

Home Phone

Cell Phone Number(s) Type name beside the number. (Ex: 304-555-1212 John) Place a comma after each entry.

If you receive texts, would you like to make sure you have been added to our text message alerts?

Email Address

Preferred method of contact?