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Update Membership Records

Please help us keep our membership roster current by submitting this form whenever your personal information changes. All information submitted will be kept strictly confidential, and never shared with any third party.

Church Roster Update

(to be removed from the LCR Church Roster, please click here)

About You
 

First Name
Last Name
Occupation
Birthdate (mm/dd/yyyy)
Cell Phone
Work Phone

About Your Spouse (if applicable)
 

First Name
Last Name
Occupation
Birthdate (mm/dd/yyyy)
Anniversary Date (mm/dd/yyyy)
Cell Phone
Work Phone

About Your Children (if applicable)
 

  Name Birthdate Grade
Oldest Child
Child 2
Child 3
Child4

Family Information
 

Address
Suite/Apartment
City   ST   Zip
Home Phone
Service Attended 8:30am  11:00am  (most often attended)
   

Church Roster Removal Form

Your Name
Email Address
Please remove me from the LCR Membership Roster
Please remove my family and me from the LCR Membership Roster
Please supply a Letter of Transfer to the following church:
Church Name
Address
City   ST   Zip
   

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