My Contact information
We're updating our records in the office, and also gathering information for a 2019 Church Directory. Please complete the form and submit to have your information included and/or updated for this project and for our church's records. Please complete sections for yourself, a spouse (or domestic partner, if applicable), any children living at home (including children living away from home temporarily, such as college students), and any other dependents living in your household.
Name *
Email Address
Please enter your email address that would be most appropriate for receiving church-related emails.
Home Address *
Please enter your mailing address.
Home Phone Number
Please enter your home phone number.
Cell Phone Number
Please enter your cell phone number.
Birthday *
MM
/
DD
/
YYYY
Marital Status *
Anniversary
If married (or widowed and still celebrated)
MM
/
DD
/
YYYY
List Contact Information? *
What contact information would you like to include in a Directory. PLEASE CHECK ALL THAT APPLY.
Required
Sunday Morning Greeter
Would you be interested in serving as a greeter? PLEASE CHECK ALL THAT APPLY.
Sunday Morning Worship Leader
Would you be interested in serving as a Worship Leader for the 10:30AM service?
Clear selection
Sunday Morning Children's Word Leader
Would you like to serve as a Children's Word Leader for the 10:30AM service?
Clear selection
Would you like to be included on the email prayer chain?
The prayer chain seeks to serve our congregation by praying for immediate and urgent prayer requests of our church family.
Clear selection
Would you like to receive the church newsletter?
Clear selection
Additional Household Members? *
Are there any additional household members you would like to add?
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