East Grand Church of Christ

New member form

First Name

Last Name

Spouse First Name

Spouse Last Name

Address 1

Address 2

Country

City

State

Zip/Postal Code

Email - Primary

Email - Spouse

Cell number - Primary

Cell number - Spouse

Cell carriers (to receive East Grand texts) (e.g. Sprint, Verizon, etc.)

Home phone number

Please list each family member's name, gender, birthday, baptism date, anniversary date, school grade (if applicable)

When are you available for family photos for the directory?