Update Member Information Please be sure to keep your contact information up-to-date. Member Information Update Form Step 1 of 5 20% Member Number Head of Household Name* First Middle Last Preferred Name First Birth Date* Month Day Year Gender* Male Female Please select your Martial Status* Unmarried Married Separated Divorced Widowed Contact InformationDo you need to update Contact Information?* Yes No Address InformationAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Do you have a different mailing address?* Yes No Please select "Yes" only if your mailing address if different from the updated address information that you just entered.Mailing AddressMailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number InformationHome Phone*Cell PhonePhone Number Voice Messages and OneCall*Email InformationEmail Enter Email Confirm Email Please select Next to move to the next section. Martial StatusDo you need to update Marital Status?* Yes No Unmarried - Additional InformationYou selected "Unmarried" as your marital status on the first page. Please use the text box below to enter any additional information. If you need to change your martial status, please return to the first page and change your selection.Spouse InformationWedding Date Month Day Year Date Divorce Finalized Month Day Year Date of Death Month Day Year Name of Spouse First Middle Last Birth Date (Spouse) Month Day Year Gender (Spouse) Male Female Number of ChildrenN/A123456789+Number of Children Living0123456789+Emergency Contact First Last Phone Number (Emergency Contact)Cell Phone (Spouse)Phone Number Voice Messages and OneCall (Spouse)Email (Spouse) Enter Email Confirm Email Please select Next to move to the next section. ChildrenDo you need to update information about your Children?* Yes No Type of Update (Children)* Child Birth Adoption Update Existing Child Information Please select all that applyChild Birth or AdoptionName of Child (Child 1)* First Middle Last Please enter the name of your child.Birth Date (Child 1)* Month Day Year Gender (Child 1)* Male Female Add another Child Birth or Adoption?* Yes No Name of Child (Child 2)* First Middle Last Birth Date (Child 2)* Month Day Year Gender (Child 2)* Male Female Add another Child Birth or Adoption?* Yes No Name of Child (Child 3)* First Middle Last Birth Date (Child 3)* Month Day Year Gender (Child 3)* Male Female Add another Child Birth or Adoption?* Yes No Additional Child Birth or Adoption InformationPlease enter any additional Child Birth or Adoption information in the text box below. Update Existing Child InformationName (Update Child 1)* First Middle Last Birth Date (Update Child 1)* Month Day Year Gender (Update Child 1)* Male Female Update information for another child?* Yes No Name (Update Child 2)* First Middle Last Birth Date (Update Child 2)* Month Day Year Gender (Update Child 2)* Male Female Update information for another child?* Yes No Name (Update Child 3)* First Middle Last Birth Date (Update Child 3)* Month Day Year Gender (Update Child 3)* Male Female Update information for another child?* Yes No Name (Update Child 4)* First Middle Last Birth Date (Update Child 4)* Month Day Year Gender (Update Child 4)* Male Female Update information for another child?* Yes No Name (Update Child 5)* First Middle Last Birth Date (Update Child 5)* Month Day Year Gender (Update Child 5)* Male Female Update information for another child or children?* Yes No Additional Updates to Existing Child Information*Please enter any additional updates to existing child information in the text box below. Please select Next to move to the next section. Ministry InformationDo you need to update your Ministry Information?* Yes No With which ministries are you currently involved? Creative Arts Ministries - Chosen Creative Arts Ministries - Drama Ministry Creative Arts Ministries - Ministry of Movement Creative Arts Ministries - Music Ministry Evangelism Ministry Relationship Ministries - Couples Ministry Relationship Ministries - Men's Fellowship Relationship Ministries - Seniors Ministry Relationship Ministries - Singles Ministry (FOCUS) Relationship Ministries - Women of Wisdom Service Ministries - Fruit of Their Hands Service Ministries - Health and Healing Service Ministries - Helps Ministry | Pastoral Care Service Ministries - Information Technology Ministry Service Ministries - Intercessory Prayer Service Ministries - Ministry of Shalom Service Ministries - Multimedia Ministry Service Ministries - Safety and Security Ministry Service Ministries - Tabernacle Ministry Service Ministries - Ushers Ministry Youth Ministries - Teen Ministry Youth Ministries - SPLASH Youth Ministries - Puppet Ministry Other Enter any other ministries with which you are involved. Please select Submit to finish your updates. 95817