Community Form

Household Contact Information

By filling in this community form you agree to be included in the Church office database. This database is used for Pastoral contact and is considered personal and confidential. Information will be used for District Pastor assignment based on your home address. Please submit a new form anytime changes are made to any of this information. Please contact the church office if you need any assistance. *A separate registration is required for ChristcityKIDS programs, please go to the KIDS page for more info.

Name(Required)

Mr. Mrs. Ms First Last

Phone(Required)

Name

Mr. Mrs. Ms First Last

Phone

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Weekly Announcements Email(Required)

Please include us in the weekly church announcements email.

Yes

Email(Required)

Household Information

Please add any children living at this address. For other adults at this address: if they are not your children; please fill in a separate community form. * A separate registration is required for ChristcityKIDS programs.

Child #1

First Last

Birthdate

Month/Day/Year

Child #2

First Last

Birthdate

Month/Day/Year

Child #3

First Last

Birthdate

Month/Day/Year

Child #4

First Last

Birthdate

Month/Day/Year

Click here to register for ChristcityKIDS