Register Please complete the form below Name * First Name Last Name Phone * (###) ### #### Email * Are you a contributor of Church That Matters? * Yes No Do you financially contribute your tithe to Church That Matters? * A tithe = 10% of your gross income Yes No Are you a single parent? * Yes No How many kids do you have? * None 1 2 3 4 5 6 7 8 9 10 Are you a veteran? * Yes No Do you have a child(ren) with special needs? * Yes No Please list diagnosis Thank you!
