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First Time User Registration:

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Please enter your name and email address here. This information will be kept strictly private. Note that the * means a required field.

    Member/Employee ID#
* First Name
* Last Name
* Address 1
  Address 2
* Town/City
* State/Prov.
* Postal Code

* Email Address

*()   - Phone Number

(Optional) You can be contacted by cell phone text messaging.
If so desired, please enter Cell Phone and Carrier:

() - Cell Phone
(Optional) Cell Phone Carrier:

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Adult
Child

Person Gender
Grade

    Birth Date

    Wedding Anniversary

Allergy/Special Need Instructions (140 char limit):

Allergy/Special Need Instructions (details):


Personal Mailing Name
Family Mailing Name

Additional Information < Expand/Close


Other Information:

(Optional:) Upload a photo for your personal page

Prayer Wall Setup Options:

NOT receive an alert notification via e-mail whenever postings and replies are made to the member's Prayer Wall.
NOT receive cellphone texts when messages are added to the prayer postings.
NOT included in automatic phone broadcasting notifications?

Photo Directory Options:

Include My Address
Include My Email
Include My Photo
Include My Phone
Include My Cell Phone

Personal Data about this Person

   Alternate Email Address
   Alternate Phone Number
   I am interested in receiving general orientation on the RA organization?
   I would like to be notified of webinars available for RA Chapters?
   I would like my state RA office for state RA information and events to contact me?
   I would like Rob Carr to call me?
* I give permission to share personal contact information when requested by RA Leaders?
   In future articles please discuss the topics or questions I am listing here.
   Do you have experience as an RA Leader? If yes, how long? If no, leave blank.
   If you have experience in leading boys in other organizations, please list here!
   Are you a Parent of an RA boy?

 

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