Keep in Touch!

If you're new to our community, please tell us how to stay in touch with you. Or, if you have recently moved to a new address, changed your phone number, or altered an email address, please let us know how to reach you! If you have any questions regarding this form, send an email to Liz.

(Note:  This information will be used to communicate with you regarding Community Baptist Church events and announcements only.)

* = denotes required fields

* Full Name
Spouse
* Address
* City
* State
* Zipcode
* Email Address
* Phone (main/home)
Phone (work)
Phone (cell)
* I attend
1st Child's Full Name
Birthdate (mm/dd/yyyy)
2nd Child's Full Name
Birthdate (mm/dd/yyyy)
3rd Child's Full Name
Birthdate (mm/dd/yyyy)
Additional Comments
 


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