Rivers of Life


Member Information Update Form

Please update this form whenever there are any household changes. 

Also, all text boxes can be re-sized by dragging the bottom right corner of the box. This brings the entire question into view.




Is the husband or head of household a member of R.O.L.?
  • Yes
  • No
Husband or Head of Household Last Name
Husband or Head of Household First Name
Husband or Head of Household Middle Name
Physical address? (Please include the apartment or unit number.)
What is the City?
What is the State?
What is your zip code?
Mailing Address (if different from above)
What is your home phone number?
Husband or Head of Household preferred phone# for voice messages
Husband or Head of Household work phone number?
Husband or Head of Household cell phone number?
Husband or Head of Household best contact email address?
Husband or Head of Household Occupation
What is your date of birth? MO/DAY/YR
Marital Status
  • Married
  • Never Married
  • Divorced
  • Widowed
Do you have children? (ages 17 and under)
  • Yes
  • No
Are you or any family members over the age of 6 serving in any R.O.L. ministries?
  • Yes
  • No
Do you attend any of our monthly fellowships? (Singles, Seniors, Couples, Men's Fellowship, WOW, etc...)
  • Yes
  • No