The Church of Christ at Manor Woods is conducting a "summer cleaning" on our contact database. Thank you for helping us verify our database content. Because each person appears as a separate record in our database, please complete this form for every person living in your home.

Name *
Name
Birth Date *
Birth Date
Address *
Address
Home Phone (landline) If you have no land line please leave blank.
Home Phone (landline) If you have no land line please leave blank.
Cell Phone
Cell Phone
Work Phone
Work Phone
Do you want to receive:
Check all that apply.
Can photos of this person be used on:
Check all that apply.