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Get Registered

This registration form is intended to allow us to get to know you better and keep track of who is who as we grow, as well as the Chaplaincy having a way to contact you.

Family Name
Your Middle Name(s)
Your Given Name
Your Date of Birth *
Spouse's Name
Spouse's Middle Name(s)
Spouse's Family Name (if different)
Spouse's Date of Birth
Address
Postal Code
Primary Phone
Alt Phone
Email
How many dependents would you like to register*
0
1
2
3
4
5
6
7
8
9
10
Child Name
Sex*
Male
Female
Date of Birth *
Child 1 Name
Child 1 Sex*
Male
Female
Child 1 Date of Birth *
Child 2 Name
Child 2 Sex*
Male
Female
Child 2 Date of Birth *
Child 1 Name
Child 1 Sex*
Male
Female
Child 1 Date of Birth
Child 2 Name
Child 2 Sex*
Male
Female
Child 2 Date of Birth *
Child 3 Name
Child 3 Sex*
Male
Female
Child 3 DOB *
Child 1 Name
Child 1 Sex*
Male
Female
Child 1 DOB *
Child 2 Name
Child 2 Sex*
Male
Female
Child 2 DOB *
Child 3 Name
Child 3 Sex*
Male
Female
Child 3 DOB *
Child 4 Name
Child 4 Sex*
Male
Female
Child 4 DOB *
Child 1 Name
Child 1 Sex*
Male
Female
Child 1 DOB *
Child 2 Name
Child 2 Sex*
Male
Female
Child 2 DOB *
Child 3 Name
Child 3 Sex*
Male
Female
Child 3 DOB *
Child 4 Name
Child 4 Sex*
Male
Female
Child 4 DOB *
Child 5 Name
Child 5 Sex*
Male
Female
Child 5 DOB *
Child 1 Name
Child 1 Sex*
Male
Female
Child 1 DOB *
Child 2 Name
Child 2 Sex*
Male
Female
Child 2 DOB *
Child 3 Name
Child 3 Sex*
Male
Female
Child 3 DOB
Child 4 Name
Child 4 Sex*
Male
Female
Child 4 DOB *
Child 5 Name
Child 5 Sex*
Male
Female
Child 5 DOB *
Child 6 Name
Child 6 Sex*
Male
Female
Child 6 DOB *
Child 1 Name
Child 1 Sex*
Male
Female
Child 1 DOB *
Child 2 Name
Child 2 Sex*
Male
Female
Child 2 DOB *
Child 3 Name
Child 3 Sex*
Male
Female
Child 3 DOB *
Child 4 Name
Child 4 Sex*
Male
Female
Child 4 DOB *
Child 5 Name
Child 5 Sex*
Male
Female
Child 5 DOB *
Child 6 Name
Child 6 Sex
Male
Female
Child 6 DOB *
Child 7 Name
Child 7 Sex*
Male
Female
Child 7 DOB *
Child 1 Name
Child 1 Sex*
Male
Female
Child 1 DOB *
Child 2 Name
Child 2 Sex*
Male
Female
Child 2 DOB *
Child 3 Name
Child 3 Sex*
Male
Female
Child 3 DOB *
Child 4 Name
Child 4 Sex*
Male
Female
Child 4 DOB *
Child 5 Name
Child 5 Sex*
Male
Female
Child 5 DOB *
Child 6 Name
Child 6 Sex*
Male
Female
Child 6 DOB *
Child 7 Name
Child 7 Sex*
Male
Female
Child 7 DOB *
Child 8 Name
Child 8 Sex*
Male
Female
Child 8 DOB *
Child 1 Name
Child 1 Sex*
Male
Female
Child 1 DOB *
Child 2 Name
Child 2 Sex*
Male
Female
Child 2 DOB *
Child 3 Name
Child 3 Sex*
Male
Female
Child 3 DOB *
Child 4 Name
Child 4 Sex*
Male
Female
Child 4 DOB *
Child 5 Name
Child 5 Sex*
Male
Female
Child 5 DOB *
Child 6 Name
Child 6 Sex*
Male
Female
Child 6 DOB *
Child 7 Name
Child 7 Sex*
Male
Female
Child 7 DOB *
Child 8 Name
Child 8 Sex*
Male
Female
Child 8 DOB *
Child 9 Name
Child 9 Sex*
Male
Female
Child 9 DOB *
Child 1 Name
Child 2 Name
Child 3 Name
Child 4 Name
Child 5 Name
Child 6 Name
Child 7 Name
Child 8 Name
Child 9 Name
Child 10 Name
Child 1 Sex*
Male
Female
Child 2 Sex*
Male
Female
Child 3 Sex*
Male
Female
Child 4 Sex*
Male
Female
Child 5 Sex*
Male
Female
Child 6 Sex*
Male
Female
Child 7 Sex*
Male
Female
Child 8 Sex*
Male
Female
Child 9 Sex*
Male
Female
Child 10 Sex*
Male
Female
Child 1 DOB *
Child 2 DOB *
Child 3 DOB *
Child 4 DOB *
Child 5 DOB *
Child 6 DOB *
Child 7 DOB *
Child 8 DOB *
Child 9 DOB *
Child 10 DOB *
Would you like envelopes for donations sent to your address?*
Yes
No
Would you like to sign up for pre-authorized donations?
Yes
No
Submit