All
fields marked with "*"
are required. |
| |
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* Name:
(Last, First MI) |
 |
Real
Pseudo |
Partner:
(Last, First MI) |
|
Real
Pseudo |
| Street Address: |
|
|
| * City: |
|
|
| * State: |
|
Postcode:
|
| * Country: |
|
|
| Phone: |
|
|
| Your Birthdate: |
|
|
| Your Partner's Birthdate: |
|
|
| Your Anniversary: |
|
|
| * E-mail Address: |
|
|
| * Please tell us how you heard of Kinship:
|
|
|
| What is your Seventh-day Adventist
background? |
|
Current member
Former member
Never a member
|
| If you are not currently a Seventh-day
Adventist, what is your denomination, if any? |
|
|
| * How do you describe your gender? |
|
Female
Transgender (MTF)
Other (
) |
| * How do you describe your orientation?
|
|
Lesbian
Bisexual
Heterosexual
Questioning or uncertain
Other (
) |
