Church Member Registration Registration – New Family or Member Username or E-mail* Password* Confirm Password*First Name* Last Name* Cell Phone Number* Registration Date* Gender*MaleFemaleBirth Date* E-mail Address* Are you an ordained deacon?YesNoWhat is your deacon rank?Chanter (Epsaltos)Reader (Anagnostes)Subdeacon (Epi-diakon)Do you currently serve in the church?*YesNoWhat services are you actively in?*Sunday SchoolUsher/ChildcareCleaning/KitchenOrbanAdministrative DutiesOtherStreet Address* City* State* Zip Code* Single or Married?*SingleMarriedWidowedOtherSpouse First Name* Spouse Last Name* Please explain 'Other' relationship status* Notes for Abouna Are you the Head of the Household?*YesNoAre you still living with your parents?*YesNoDo you have children?*YesNoHow many children do you have in your family?*12345678910First Name - Child 1* Last Name - Child 1* Date Of Birth - Child 1* What Grade Level is Child 1 in?*Not yet in schoolPreschool 1Preschool 2Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thCollegeGraduated CollegeWhat is Child 1's phone number?* First Name - Child 2* Last Name - Child 2* Date Of Birth - Child 2* What Grade Level is Child 2 in?*Not yet in schoolPreschool 1Preschool 2Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thCollegeGraduated CollegeWhat is Child 2's phone number?* First Name - Child 3* Last Name - Child 3* Date Of Birth - Child 3* What Grade Level is Child 3 in?*Not yet in schoolPreschool 1Preschool 2Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thCollegeGraduated CollegeChild 3 Phone Number* First Name - Child 4* Last Name - Child 4* Date of Birth - Child 4* What Grade Level is Child 4 in?*Not yet in schoolPreschool 1Preschool 2Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thCollegeGraduated CollegeChild 4 Phone Number* Only fill in if you are not human Login
