MEMBERS INFORMATION UPDATE FORM

Thank you for updating your church profile.  This will help us better serve you as a church family.
If you have any questions or concerns, please contact Tometha Faulk, tfaulk@ndcbf.org.
PLEASE NOTE, an * indicates fields that must be completed.

  Please tell us what has changed
Hold CTRL for multiple selections

* Social Title
* Full Name, including middle name
* Suffix
Nickname
* Address
* City
* State
* Zip Code
Employment (Name of Company)
Employment Job Title
Home Phone #
Cell Phone #
Work Phone #
Home Email Address
Work Email Address
* Marital Status
Date of Marriage, if applicable (MMDDYY)
Date of Divorce, if applicable (MMDDYY)

Is your spouse a member of NDCBF?
If No, is your spouse also joining NDCBF?
Spouse's Name
Spouse's Date of Birth
Spouse's Place of Employment
Spouse's Position at Work
Spouse's Work Phone #
Spouse's Cell Phone #
Spouse's Home Email Address
Spouse's Work Email Address

  Please List Any Minors that Live with You
Child 1 Name (First/Middle/Last)
Child 1 Sex
Child 1 Date of Birth (MM/DD/YY)

Child 2 Name (First/Middle/Last)
Child 2 Sex
Child 2 Date of Birth (MMDDYY)

Child 3 Name (First/Middle/Last)
Child 3 Sex
Child 3 Date of Birth (MMDDYY)

Child 4 Name (First/Middle/Last)
Child 4 Sex
Child 4 Date of Birth (MMDDYY)

  We Have a New Birth in the Family
Child's Name (First/Middle/Last)
Child's Sex
Child's Date of Birth (MMDDYY)

  We are Guardians of a Child
Child's Name (First/Middle/Last)
Child's Sex
Child's Date of Birth (MMDDYY)

  We Have Adopted a Child
Child's Name (First/Middle/Last)
Child's Sex
Child's Date of Birth (MMDDYY)

  Family's Emergency Contact Person
* Emergency Contact Name
* Emergency Contact Phone#
* Relationship to the Family
Comments & Other Info
 


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