Your Name
*
First Name
Last Name
Spouse Name
First Name
Last Name
Your Email Address
Your Spouses Email Address
Your Home Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Your Primary Phone Number
*
(###)
###
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Your Spouses Primary Phone Number
(###)
###
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Is this your Home or Cell Phone Number?
*
Is it OK to put your cell number in the directory so members can contact you?
Your Current Occupation
Date of Birth (Your Birthday)
MM
DD
YYYY
Spouses Birthday
MM
DD
YYYY
Date you were Married
MM
DD
YYYY
Names of your Children and their birthdays. Please also indicate their grade level
Date you were Baptized or, approximately how long have you been a member of the Church of Christ?
Are you currently Serving in any capacity of ministry or in a particular department at Reseda Church of Christ?
If you are serving in a Ministry or Department, please tell us which Team you are working with and for how long
WORSHIP
SERVE
FELLOWSHIP/ MEMBERSHIP
Adult Education Ministry
The Youth Oasis Ministry (Sunday Mornings and Wednesday Evening): I want to enroll my Teens in a mentoring group for
You may select more than one item below
Please indicate their name/s and Age/s
I want to enroll my children in the Children’s Vineyard
You may select more than one item below:
Please indicate their name/s and Age/s including what grade they are currently in
MINISTRY
Pertaining to the Intergenerational Community Group question above; Please Indicate the Community in which you live or preferred to meet in
MISSIONS - Which of the following Missions would you be willing to support?
Are you presently leading a Ministry Team? If so, please indicate;
Are you presently leading a Life Group? If so, please indicate
I have special skills and abilities in
If your interest is not listed above, please list your ministry interest below