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Member Update Form

Member Update Form

Update Your Member Information

It is very important to us that we maintain accurate records and contact information for members of Valley Brook Outreach Baptist Church. Please use the form below to submit your information so we can stay connected.

* Denotes required fields.

*First Name:
*Last Name:
*Email Address:
*Re-Enter Email Address:
*Phone: (xxx)yyy-zzzz
*Date of Birth:
*Date Joined:
*Anniversary Date:
*Membership Status:

*Children Names / Ages: Please list the names and ages of your children.

*Ministries Involved in:
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