You Share…We Care

Community + Care

City Church values community and desires that everyone experiences the closeness of being a part of the City Church family. If you call City Church home, we would like for you to provide us with information that will assist us in caring for you and your family.

This information will strictly be used in caring for you and not sold or used for any other purpose.

Thanks for being a part of The City Church Family!

Name

First Name

Last Name

Birthdate

YYYY

Please Check One

Married

Single

If you are married, Anniversary Date

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Spouse's Name

First Name

Last Name

Spouse's Birthdate

YYYY

Spouse's Phone

(###)

###

####

Spouse's Email

Children's Information (Children living with you)

Please include the child's first and last name, name used, birthdate, and gender.

Month and year you started attending City Church?