Data Information Card Data Info Card Title(Required) Mr Mrs Ms Miss First Name(Required) Last Name(Required) Home Address(Required) City(Required) Zip Code(Required) Home PhoneCell PhonePrimary Email(Required) Gender(Required) Male Female Birthdate MM slash DD slash YYYY Marital Status(Required) Single Married Divorced Separated Widowed Maiden Name (if applicable) Ethnicity(Required) African-American Asian Hispanic Caucasian Other Service I most often attend (check one)(Required) Sat. 6pm Sun. 9am Sun. 11:15am Sun. 6pm (Fusion) Do you want tithing envelopes printed for you? Yes No Please keep my contact information unlisted Yes No Spouse's InformationTitle Mr Mrs Ms Miss First Name Last Name Home Address City Zip Code Home PhoneCell PhonePrimary Email Gender Male Female Birthdate MM slash DD slash YYYY Marital Status Single Married Divorced Separated Widowed Ethnicity African-American Asian Hispanic Caucasian Other Service I most often attend (check one) Sat. 6pm Sun. 9am Sun. 11:15am Sun. 6pm (Fusion) Child 1 InformationName First Last GenderMaleFemaleBirthdate MM slash DD slash YYYY Current Grade: (leave blank if not applicable)TK (Transitional Kindergarten)Kindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th gradeEthnicity African-American Asian Hispanic Caucasian Other Do you have another child to add? Yes No Child 2 InformationName First Last GenderMaleFemaleBirthdate MM slash DD slash YYYY Current Grade: (leave blank if not applicable)TK (Transitional Kindergarten)Kindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th gradeEthnicity African-American Asian Hispanic Caucasian Other Do you have another child to add? Yes No Child 3 InformationName First Last GenderMaleFemaleBirthdate MM slash DD slash YYYY Current Grade: (leave blank if not applicable)TK (Transitional Kindergarten)Kindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th gradeEthnicity African-American Asian Hispanic Caucasian Other Do you have another child to add? Yes No Child 4 InformationName First Last GenderMaleFemaleBirthdate MM slash DD slash YYYY Current Grade: (leave blank if not applicable)TK (Transitional Kindergarten)Kindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th gradeEthnicity African-American Asian Hispanic Caucasian Other Do you have another child to add? Yes No Child 5 InformationName First Last GenderMaleFemaleBirthdate MM slash DD slash YYYY Current Grade: (leave blank if not applicable)TK (Transitional Kindergarten)Kindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th gradeEthnicity African-American Asian Hispanic Caucasian Other Do you have another child to add? Yes No Child 6 InformationName First Last GenderMaleFemaleBirthdate MM slash DD slash YYYY Current Grade: (leave blank if not applicable)TK (Transitional Kindergarten)Kindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th gradeEthnicity African-American Asian Hispanic Caucasian Other
