ReaLife Assembly - Household Update

Moved recently? Have a new addition to the family? Then fill out this form so we can update your information!

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Gender

Marital Status

Anniversary

School(s)

Household

Family Member Medical Notes

Please Mark Preferred Method of Communication

Call

Text

Email

Are You a Member or Attender?

Member

Attender

*Being a member of the church means you have gone through the 'Join the Family' course and signed the Family Covenant form.

Are You Interested in Becoming a Member?

Yes

No