Name (first and last): Date Of Birth: Email:
Home Phone: Cell Phone:
Address: City: Zip Code:
Click the following in which you desire to serve: Tiny TotsTiny Tots Special EventsKids KonnectionThe CurrentRevolution
How long have you been a regular attender of Christ Community Church? years
How many times per month do you attend a Christ Community worship gathering? 1234
What motivates your desire to serve families through the Connexus Family Ministry?
Have you ever been convicted of an offense (physical or sexual) involving a minor? noyes
Please initial below to indicate that you are aware that we may complete a criminal background check through CBI (Colorado Bureau of Investigation)
What is your T-Shrit size? XSSMLXLXXL
Just click "Submit Form" and your job is done!