Community Baptist Church of Greater Milwaukee

Youth Member Profile Update

*Youth (under 18) If you are in College, please use this form & your college mailing address, if applies. Thank You!

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Name *


First Name	Last Name

Address *

Gender *

Select from list

Date of Birth

Click in box to select date

Your Age

Home Phone Number

Phone Number

Cell Number

Phone Number

Do you wish to receive text messages?

Select from list

E-mail address

Email Address

Attending School

Current Grade Level

In case of emergency, contact: *

Relationship: *

Phone Number *

Phone Number

What are your special gifts or talents:

Do you have brothers/sisters that do/do not attend Community Baptist Church? If so, please list names & ages:

* required