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Login Information
* Email Address
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  • The login name will ALWAYS be your email address.
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  • Please make sure that it is a valid email address as you will receive a confirmation email after registering.
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  • The purpose of having a "login" is to allow you flexibility to update your information at anytime so that the Diocese of Los Angeles may have accurate updated information of its members.
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    Family Common Information
    * Country:
    * Street:
    * City:
    * State/Pr:
    * Zip:
    Home Number: ( ) -
    Home Fax: ( ) -


    Member Information
    * Primary Church You Attend
    Secondary Church You Attend
    * Gender: Male Female
    * Family Member Role
    * Title:
    * First:
    Middle:
    * Last:
    Date of Birth:
       
    * Primary Language:
    Mobile Number: ( ) -
    Field / Degree:
    Confession Father:
    Marital Status:


    Citizinship(s) (You may select multiple entries)
    *  Country Status
    USA
    EGYPT
    CANADA
    AUSTRALIA
    UNITED KINGDOM
    Other (Please specify)


    Distribution
    * Would you like to receive SMS Text messages on your mobile phone? Yes No
    * Would you like to receive emails, regarding Diocese Events?: Yes No


    Diocese | Church Services Participation
    * Diocese Services/Programs/Affiliations
    Santa Verena Charity
    Coptic Family Services
    Young Professionals
    CCHP
       
       

    * Church Service
    Clergy (only if you are clergy)
    Sunday School
    Church Board
    Deacon
    English Youth Service
    Arabic Youth Service
    Needy Families Service
    Senior Citizen Service
    Administrative/Maintenance