Child / Youth Information Form

Please fill out and submit one of these forms for each child/youth member in your household.

  
Family Last Name
  
Full Name
  
Preferred or Nickname
  
Position In Family
  
  
Gender
  
  
Ethnicity
  
  
Birth Date
  
Place of Birth
  
Email
  
Cell Phone
  
School Grade
  
  
Baptized
  
  
Baptismal Date
  
Confirmed
  
  
Confirmation Date

1919 Independence Pkwy Plano, Texas 75075 USA
Contact Us
972-867-0460    972-758-7921 (fax)
8:30 - 4:30 M-F
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PURPOSE: To unite as many persons as will share its confession of faith in a fellowship of Worship, Learning, Witness and Service that the Word of God in Jesus Christ may become effective in their lives together and individually.