theStone Church Census

Please fill out this form to ensure we have your information up to date as we move to a new church management system. If you have any questions, please contact the church office at 563.927.2851 or office@thestone.life. Thank you!

Primary Contact

Name

*

Sex

*

Please select one option.

Male Female

Email

*

This address will receive a confirmation email

Phone

*

Mailing Address

*

Membership Status

*

Please select all that apply.

Member Attender Visitor

Spouse/Adult Information

Name

Sex

Please select one option.

Male Female

Email

Phone

Membership Status

*

Please select all that apply.

Member Attender Visitor

Children's Information

Name

Sex

Please select one option.

Male Female

Date of Birth

Name

Sex

Please select one option.

Male Female

Date of Birth

Name

Sex

Please select one option.

Male Female

Date of Birth

Name

Sex

Please select one option.

Male Female

Date of Birth

Name

Date of Birth

Name

Sex

Please select one option.

Male Female

Date of Birth

Name

Sex

Please select one option.

Male Female

Date of Birth

Name

Sex

Please select one option.

Male Female

Date of Birth

Description

Please fill out this form to ensure we have your information up to date as we move to a new church management system. If you have any questions, please contact the church office at 563.927.2851 or office@thestone.life. Thank you!

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