Submit MEMBER Info - Neerlandia Christian Reformed Church

Neerlandia Christian Reformed Church - Neerlandia, AB

Please fill out the following information to join our member database. This will allow us to better communicate with you. Please fill out all information including the children in your household, or you will not receive proper communication regarding events pertaining to them in the future. All email addresses are protected from mass harvesting tools etc.

Once you submit the information it will come to our administrators for approval to ensure that there are no inappropriate people applying for access. Your account should be useable within a week of application.

Fields marked with a * are required.

Member Name:

*Last Name:

*First Name:

Birth Date:

(m/d/yyyy)

Anniversary Date:

(m/d/yyyy)

Spouse First Name:

Spouse Birth Date:

(m/d/yyyy)

Address Line 1:

Address Line 2:

City:

State/Country:

For United States and Canada:

For Other Countries:

State:
Country:

Zip:

Phone:

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Work Phone:

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Mobile Phone:

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*Email:

Email 2:

Display Email:

Check this box if you would like your email address to be shown on any page containing a member database search.

Receive Weekly Email:

Check this box if you would like to receive the weekly calendar email.

Event Categories for Weekly Email:

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User Name:

Password:

Confirm Password:

Children:

#	Last Name (leave blank if the same)	First Name	Birth Date (m/d/yyyy)	Grade	Email
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Groups you belong to:

	Attending Member			Audio/Visual Committee
	Audio/Visual Technicians			Building Committee
	Cadets			Catechism/Youth Discipleship
	Catering Committee			Coffee Break
	Council Executive			Deacons
	Education Committee			Elders
	Finance Committee			GEMS
	Ladies Fellowship Circle			Men's Chorus
	Mission Committee			Musicians
	NCRC Staff			Nursery
	Refugee Committee			Safe Church Committee
	Seniors (50+)			Sunday School
	Teen Club			Worship Committee
	Young Adult's			Young People's
	Youth Committee