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	We look forward to your attendance and sharing, as we are training, sending and multiplying disciples of the Lord Jesus Christ for the work of the ministry!!

Home > Family Profile Form

*Required Fields
Title
Mr.
Mrs.
Miss
Ms.
Name:
First:*
Middle
Last:*

	I am a ministry Partner (I have completed New Partners Orientation)
	I am a regular Attendee (I have NOT completed New Partners Orientation)
	I am changing my mailing information below.

1. OLD INFORMATION
Mailing Address/Apartment:*
City:*
State:
Zip Code:*
Family Main Phone:
Alternate Phone:
Cell Phone:
E-mail:*
Birth Date:*

2. NEW INFORMATION
Mailing Address/Apartment:*
City:*
State:
Zip Code:*
Family Main Phone:
Alternate Phone:
Cell Phone:


Birth Date:	Year:
Gender:*	Male Female
Marital Status:
E-mail:*
Place of Employment:
Position:

Spouse's Information
Spouse’s First Name:
Spouse’s Middle Name:
Spouse’s Last Name:
Spouse’s Alternate Phone:
Spouse’s Cell:
Spouse’s Birth Date:
Spouse’s Primary E-mail:

Dependent Children Living at Home 17 and Under:
Child 1 First Name:
Child 1 Last Name:
Child 1 Gender:
Child 1 Birth Date:

Child 2 First Name:
Child 2 Last Name:
Child 2 Gender:
Child 2 Birth Date:

Child 3 First Name:
Child 3 Last Name:
Child 3 Gender:
Child 3 Birth Date:

Child 4 First Name:
Child 4 Last Name:
Child 4 Gender:
Child 4 Birth Date:

I am currently serving on the following COP Ministry Teams: