Contact information
Thank you for your willingness to assist us in updating our databases. Please complete this form to the best of your ability by providing your updated contact information, family information, and skills. If you recently became of member of Berea City of Hope or have recently registered to attend a Berea City of Hope service, you do not have to fill out this information unless your information has changed since that time.
Name *
Email *
Phone number
What is your current member status?
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Please list the names of your spouse and children if any
Please let us know what skills you have
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