CE Calgary Membership Data • Christ Embassy Calgary

Title

First Name *

Middle Name

Last Name *

Preferred Name

Gender

Ethnicity

Birthday

Marital Status

Name of spouse (if applicable)

Wedding Anniversary (if applicable)

Industry of Occupation

Tip: (Example: healthcare, service, technology, oil & gas etc) (If you're in school, kindly enter IN UNIVERSITY/IN HIGH SCHOOL etc)

Occupation *

Tip: (Example: doctor, student, lawyer, programmer, entrepreneur etc)

Mobile Number *

Phone Number

Email Address

Community *

Tip: Example: Skyview, Evanston, Cityscape, Whitehorn, Evergreen etc (If you're unsure, please enter 'not sure')

Home Address

Home Address Line 2

Home City

Province

Home Zip Code

Are you a born again Christian?

Yes

Are you filled with the Holy Spirit?

Yes

Have you been baptized by immersion?

Have you gone through Foundation School?

When did you go graduate Foundation School? (If applicable)

After submitting this form, kindly click the link showing on the next page to upload most recent photo of you and your family.

This will help us especially when celebrating your & your family's birthdays

Thank you