BSUMC Church Directory Update Form 2021
Please complete a separate form for each adult. Only one parent/guardian needs to include children on their form.
* Required
Email address
*
Your email
Name
*
Please include your full formal name.
Your answer
Nickname (Preferred to be called name) if different from Name
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Cell Phone with area code
Your answer
Home Phone with area code
Your answer
Preferred phone
*
Home Phone
Cell Phone
Date of Birth
*
MM
/
DD
/
YYYY
We often take photographs of activities and events. These photos may be displayed on the church's website, Facebook page, T.W.I.R.P., bulletin board or local newspapers. We will not publicize photos of you or your children without your consent.
*
Yes, BSUMC has my permission to use photos of me or my child(ren).
No, BSUMC does not have my permission to use photos of me or my child(ren).
Spouse/Civil Union/Partner Name
Your answer
Anniversary Date
MM
/
DD
/
YYYY
Do you have children under age 18 to include in your listing?
*
Yes
No
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