Ministry Registration Form

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Home > Deployed Family Support > Ministry Registration Form

Please fill in the information below and click on the "Submit Request" button.
Your request will be sent to Cameron's Deployed Family Member Support Ministry.

All information is confidential and will be used ONLY by this ministry for assistance.

Name
Address
Phone (Home)
Phone (work)
Phone (Cell)
Gender
Age
Date of Birth
Children's names and ages:
Do you regularly attend a local church?	Yes No
If Yes, please list church name:
Name of person who was deployed:
Unit of person who was deployed:
Mailing address or e-mail of person deployed:
Type of ministry family member is needing:
Other comments: