Member Data Sheet
Name
Address
City
State and Zip
E-mail
Home Phone
Work Phone
Cell Phone
Birth Date
Gender
Male
Female
Location and Date of Walk
Your Church
Are you an active member?
Yes
No
Occupation
Musical Ability (select all that apply)
Guitar
Banjo
Keyboard
Vocalist
Praise and Worship Leader
Other
Number Sponsored
Clergy or Lay
Clergy
Lay Member
Accountaility Group Name
Interested in Serving?
Yes
No
Walks Worked and Position
Enter the date and location of the Walk you worked. Also include the position served (ATL-Asst Table Leader). Include in talks give and the name of the talk.