Household Form - Church of the Good Shepherd

Phone number *

Birthdate *

Gender

Household members

Please add each additional member of your household- not including yourself.

Address

Which of the following best describes you or your household? *

I am a member of Good Shepherd (gone through membership class, met with April & Robert, etc).

I am attending regularly (non-member).

I am visiting and still discerning whether Good Shepherd will be my church home.

Other

There are children 18 years of age or younger in my household. *

Yes

No

My child(ren) come to Good Shepherd with (check one) *

Both Parents

Mother

Father

Grandparent

Other