CityHeart Information Update

Tell Us About You

First Name *

Last Name *

Date of Birth *

Gender *

Family Relationship *

Allergies

Photo Permission *

Yes

Any pertinent information we should know (i.e. mobility assistance, special needs, etc.)

Please Explain: *

Is this a child 0-12yrs (up to 5th grade) and needs childcare? *

Is this a student in 6th grade - 12th grade? *

Yes

What school does your child attend? (please also indicate if homeschooled) *

Grade *

Do we have permission to use your child's photo in promotional materials (print and social)? *

What school does your child attend? (please also indicate if homeschooled) *

Grade *

Do we have permission to use your child's photo in promotional materials (print and social)? *

Marital Status

Anniversary

Spouse Name

Current Contact Information

Email Address *

Mobile Number *

Phone Number

Mailing Address *

Mailing Address Line 2

Mailing City *

Mailing State *

Mailing Zip Code *

Find Your Fit - Survey

Have you completed our MOVE Class? *

Yes

Have you ever been involved in a CityHeart small group (CityGroup of any kind)? *

Yes, and currently attending

Yes, but I haven't been in awhile

No, but I would like to become involved

Have you ever volunteered with CityHeart, or are you currently volunteering? *

Yes, currently, and I love it!

Yes, but I haven't in awhile

No, but I would like to become involved!

No, life is pretty busy.

What is an area of CityHeart you would really like to know more about? *

CH Students College Ministry

CH Youth (J.High - HS)

CityGroups

Creative Team

Connect Team

Experience Team (Hospitality)

Heart for the City

Host Team (Ushers, Guest Speaker Support)

Kids Ministry (babies-5th)

Parking Lot Team

Prayer Ministry

Production

Security

Worship Team

N/A

Tip: This is the space for you to find out about an area of CityHeart. We want to make sure that you feel like you know your CityHeart family and what is available for you!

Received Salvation *

Yes

Unknown

Salvation Date

Experienced Baptism *

Yes

Unknown

Baptism Date

Is CityHeart Your Home Church? *