Member Contact Information Form

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Please help us to better reach you and keep our database current!
We are hoping to keep our records as current as possible! Also, we would love to send you emails with important church updates, plus email you the monthly newsletter. To do that, we need up-to-date contact information. Please provide us with any changes to your contact information. Please provide your email address. We WILL NOT SHARE this information with any other organization.

First Name

Last Name

Email Address

Enter your address if it has changed

Enter your home Phone # if changed

Please enter your cell phone #

Please list any family members living at your home, who also attend CTK. If they have a different last name, please type that in as well.

Children living away(military, co-parent or at college). Please list name and living status

First and Last Name of second recipient.

Second email address

Do you live out of state but would like to receive emails and newsletters from CTK?

You would/would not like to receive emails through the Constant Contact email system? You can receive no emails or all emails. Please choose one or more answers.

I do NOT want to receive emails
I DO want to receive emails