151st Street Church of Christ New Member Information Sheet

Your Name

Address

Mobile Phone

This address will receive a confirmation email

birthday (mm/dd)

Place of Employment & Job Title

Military Experience?

Name of Spouse

Spouse Mobile Phone

Spouse Email

Spouse birthday (mm/dd)

Place of Employment & Job Title

Military Experience?

Anniversary (mm/dd/yyyy)

Children with birthdays for Bible class placement

Child's name and birthday (mm/dd/yyyy)

Anything else not found on this form:

Description

We are so glad to have you here at 151st Street! Please fill out the following form and click submit to have your information added to the church directory. Questions? Email info@151cofc.com.

151st Street Church of Christ New Member Information Sheet

Description

Please Fix the Following