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CCMP Directory Information
We need
YOU
in the CCMP Church Directory! Fill out this information to tell us about your family. You will receive an email after your information is loaded requesting a family photo.
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Family Last Name
*
Your answer
Adult 1 First Name
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Your answer
Adult 2 First Name
Your answer
Child 1 First Name
Your answer
Child 2 First Name
Your answer
Child 3 First Name
Your answer
Child 4 First Name
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Address (Include street address, city, state, and zip code)
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Your answer
Adult 1 Mobile Phone
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Your answer
Adult 2 Mobile Phone
Your answer
Child 1 Mobile Phone
Your answer
Child 2 Mobile Phone
Your answer
Adult 1 Email Address
*
Your answer
Adult 2 Email Address
Your answer
Child 1 Email Address
Your answer
Child 2 Email Address
Your answer
Adult 1 Birthdate
*
MM
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DD
/
YYYY
Adult 2 Birthdate
MM
/
DD
/
YYYY
Child 1 Birthdate
MM
/
DD
/
YYYY
Child 2 Birthdate
MM
/
DD
/
YYYY
Child 3 Birthdate
MM
/
DD
/
YYYY
Child 4 Birthdate
MM
/
DD
/
YYYY
Couple's Anniversary
MM
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DD
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YYYY
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