JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Contact Information
We are updating our database to ensure that as many people as possible have access to our services and are able to connect meaningfully during this time.
You can help us to deliver a better experience by completing the form below.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Title
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Marital Status
*
Single
Married
Divorced
Widowed
Date Married (Anniversary Date)
MM
/
DD
/
YYYY
Home Tel
Your answer
Work Tel
Your answer
Cell
Your answer
Postal Address
Your answer
Physical Address
Your answer
Occupation
Your answer
Employer
Your answer
Spouse
Your answer
Children (list all)
Your answer
Do you attend regularly?
Yes
No
Clear selection
Are you a member of NSC?
Yes
No
Not sure
Clear selection
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This form was created inside of Norwegian Settlers Church.
Report Abuse
Forms