Contact Information Update

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Please take a quick minute to fill out this form and submit so we can update our records. Many of you have moved, changed email addresses, added children to your household, etc...and we have so many new families! We want to be sure we know how to reach you and minister to you!

**Even if you think we have your correct information, please submit this form so we can double-check!

Last Name *

First Name *

Prefix/Suffix

Spouse's Name

Spouse Prefix/Suffix

Preferred Email *

Secondary (or spouse's) Email

Mailing Address (City, State, Zip) *

Cell phone number

Secondary (or spouse's) phone number

Birth date

Spouse's birth date

Marital Status

Marriage Date/Anniversary

YYYY

Children (or other family members living in same household) *Please note their birthdays & ages.

Please contact me with more information on: (check all that apply)

Children/Youth Ministries

Music/Choir

Church Service Opportunities (Vestry, Usher, Altar Guild, etc.)

Outreach Ministries (SnackPak, Under the Bridge, etc.)

Submit

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