Member Registration
Join the ACK St Thomas Cathedral Kerugoya Family
Personal Information
First Name
Middle Name
Last Name
Date of Birth
Gender
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Male
Female
National ID
Occupation
Employer
Profile Photo
Contact Information
Phone Number
Alternative Phone
Email Address
Address Information
County
Sub County
Ward
Village/Estate
Postal Address
Postal Code
Family Information
Marital Status
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Single
Married
Divorced
Widowed
Number of Children
Spouse Name
Spouse Phone
Emergency Contact
Contact Name
Relationship
Phone Number
Spiritual Information
Baptism Status
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Infant Baptism
Seeking Baptized
Not Baptized
Baptism Date
Baptism Place
Confirmation Status
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Confirmed
Not Confirmed
Confirmation Date
Confirmation Place
Previous Church
Transfer Letter
Church Involvement
Fellowship
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Gatitu Estate Fellowship
Kerugoya South Estate Fellowship
Town Centre Estate Fellowship
Departments (Select all that apply)
Ministry Interests
Additional Information
Special Needs
I agree to the terms and conditions and confirm that all information provided is accurate
Complete Registration