Dropdown Single Married Couple Family His Name First Name Last Name His Email His Cell Phone (###) ### #### Her Name First Name Last Name Her Email Her Cell Phone Please list phone number and name of contact. (###) ### #### Home Phone Please list phone number and name of contact. (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you for registering to become a member of Church of the Resurrection!A member of the Parish staff will be in contact in the coming days.