New Member Registration
When you are done, click submit.
WELCOME TO COVENANT!
In order to ensure accuracy in our records and communications we ask you to fill this form out as completely as possible. One submission for
each
member please (including children joining) of your household.
Name
*
Email
*
This address will receive a confirmation email
Home Phone
Cell Phone
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Birth Date
*
Occupation
Employed By
Hobbies
Participation: Organizations or Activities
Marriage Date - City, State and Church
Children
Birth City, State and Church
Baptism Date - City, State and Church
Confirmation Date - City, State and Church
Submit
Description
When you are done, click submit.
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