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New Member Registration
ADULT MEMBER INFOMATION FORM
Date Joined (For Internal Use)
Name
Email Address
Phone Number
Address
City
State
Country
Zip
Date Of Birth
Gender Identification
Select One
Male
Female
Non-Binary
Transgender
Other
Preferred Method of Contact
Email
Phone
About Your Household
Spouse
Member?
Yes
No
Child
Member?
Yes
No
Child
Member?
Yes
No
Child
Member?
Yes
No
Celebrating Your Special Moments
Wedding Anniversary
Emergency Contact
Name
Phone
Relationship
Welcome To The Cov Family!
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CHILD / YOUTH MEMBER INFOMATION FORM
Date Joined (For Internal Use)
Name
Email Address
Phone Number
Address
City
State
Country
Zip
Date Of Birth
Gender Identification
Select One
Male
Female
Non-Binary
Transgender
Other
Preferred Method of Contact
Email
Phone
FAMILY INFORMATION
Parent / Guardian
Member?
Yes
No
Email Address
Phone Number
Address
City
State
Country
Zip
Parent / Guardian
Member?
Yes
No
Email Address
Phone Number
Address
City
State
Country
Zip
Welcome to The Cov family!
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