Community Baptist Church of Greater Milwaukee

Adult Member Profile Update

Please fill out all that applies. Youth & College Students, please use the Youth Profile Form. Thank You!

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Name *


First Name	Last Name

Name change due to marriage, please list your maiden name

Address *

Gender *

Select from list

Date of Birth *

Click in box to select date

Status *

Select from list

Home Phone Number

Phone Number

Work Number

Phone Number

Cell Number

Phone Number

Your Primary Number *

Select from list

Do you wish to receive texts?

Select from list

Primary e-Mail Address

Email Address

Ministry of Service

Your Gifts/Talents

In case of emergency, Please Contact

Relationship:

Phone Number

Please fill out this section if applicable

Spouse's Name


First Name	Last Name

Spouse Date of Birth

Click in box to select date

Wedding Anniversary

Click in box to select date

Please List Children First & Last name, Gender (male/female), Date of Birth. *if applicable

* required