Word of Life Records Verification

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Please use this form to update your records with Word of Life. Only one person per family is necessary to complete this form.

First Name *

Last Name *

Middle Name

Birthday *

YYYY

Home Address *

Phone Number *

Would you like to opt into the weekly phone tree to receive Word of Life News and Updates via phone? *

Yes

Would you like to opt in to receive Word of Life News and Updates via text?
*

Yes

Email Address *

Would you like to opt in to receive weekly Word of Life News and Updates via email?
*

Yes

Marital Status *

Single

Married

Divorced

Widowed

Seperated

Other:

Name of Spouse (if applicable)

Spouse's Birthday (if applicable)

YYYY

Wedding Anniversary (if applicable)

YYYY

Please list the names and birthdays of your children or those in your household whom you have guardianship over.

Are you or any member of your family interested in serving or leading out in a particular Word of Life ministry? Your answer may be as general or as specific as you prefer :)

Submit

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