Date Married:
Please tell us about your spouse:
First Name:		Surname:
Date of Birth:		Country of Origin:
Mobile phone:		Business Phone:
Occupation:		Email:
Does your spouse attend CityLife Church? Yes No
Is CityLife your spouse's main church? Yes   No
LifeGroup leaders name (if applicable):
My spouse does not want to receive emails regarding:		Weekly NewsletterLIFETRAXMen's MinistryWomen's Ministry

	First Name	Surname	Gender	Birthdate	LifeGroup leader's name (if applicable)	Is CityLife his/her main church?	Current Kinder/ School Year Level
Dependent Child 1			M F			Yes No	N/A Kinder Prep Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12
Dependent Child 2			M F			Yes No	N/A Kinder Prep Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12
Dependent Child 3			M F			Yes No	N/A Kinder Prep Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12
Dependent Child 4			M F			Yes No	N/A Kinder Prep Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12

Is there any information, medical or otherwise, which would help the Children's Church teachers in working with your child/children?