Christian Ministries Church - Update Member Directory

Use the form to the right to update your entry in the church directory. Fill in all applicable information.

	Your Information Please be as thorough as possible.
First Name:
Your Birthday
Spouse's Name:
Spouse's Birthday:
Last Name:
	Children/Dependents Please fill in the name and birthday off each child or dependant in your household.
Child 1:
Birthday:
Child 2:
Birthday:
Child 3:
Birthday:
Child 4:
Birthday:
Child 5:
Birthday:
Child 6:
Birthday:
	Contact Information
Your Email:
Spouse Email:
Address:
City:
State:
Zip:
Home Phone:
Your Mobile:
Spouse Mobile:
Other Phone: