Update Contact Information | Christian Life Assembly

Update My Info

Taking the time to update your information allows us to know how to better serve you and your family.

Your Information
Name*
Prefix First Middle Last Suffix
Date of Birth
MM slash DD slash YYYY
Marital Status
- Single
- Married
Home Phone
Mobile Phone
Work Phone
Email
Enter Email Confirm Email
Current Address
Street Address City State ZIP Code
Previous Address
Street Address City State ZIP Code
Spouse Information
Spouse Name*
First Last
Date of Birth
MM slash DD slash YYYY
Home Phone
Mobile Phone
Work Phone
Email
Enter Email Confirm Email
Current Address (if different from head of household)
Street Address City State ZIP Code
Child Information
Child's Name
Full Name D.O.B Grade Email Phone

Use the plus button to list additional children.
I would like to receive the weekly e-newsletter from CLA.
- Yes
- No

Full Name	D.O.B	Grade	Email	Phone