"The family that prays together,
 stays together"

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Prefix: Full Name: Suffix:
I am related to the JMC family through the following family line:

My primary JMC Family relative is my:

Mother Father Grandmother Grandfather
Aunt Uncle Wife Husband Cousin

Relative's Name:

My Street Address:
City:
State: ZIP Code:
Phone: E-mail Address:

Extra Information:

Select no if you do not want to be contacted by the reunion hosts:

Information submitted to this form will be used by family reunion hosts to contact family members. Only names, city, state and e-mail addresses will be posted within 48 hours (in most cases) in the online address book, unless otherwise indicated. Other information will not be shared with third parties.