CONTACT & EMERGENCY FORM

CONTACT & EMERGENCY FORM

Basic Contact and Emergency Form Form Preview
MEMBER INFORMATION FORM
  • MEMBER INFORMATION FORM

    Church of God International - Detroit Congregation
  • THIS FORM WILL ASK YOU THE FOLLOWING QUESTIONS:
    fist name
    last name
    gender
    address, city, zipcode
    home phone number
    cellphone number
    email address
    birthday: (optional)
    anniversary: if applicable, (optional)
    Name & phone number of your doctor
    Full name and phone number for 2 emergency contacts
    Name, gender, and birthdate of children <18

    PLEASE NOTE:
    Your address, telephone numbers, and email address will only be shared with church leadership and used to send important telephone announcements or text message alerts, for emergencies, or for church leadership members to contact you.
    Birthdays and anniversaries will be shared if provided.


    PLEASE CLICK THE BUTTON BELOW TO COMPLETE THE FORM