Contact Information Update
Please fill out all information and then click SUBMIT on the last page. You should get a confirmation message after submitting. Call 630-830-3630 with any questions.
Fill out all information (even if you think we have it!) One for each adult
Please complete and submit a form for each adult
Full Name *
First and Last
Relation with Other Church Member(s)
Please indicate the name and relationship with any other church members so we can connect adults in the same household. For example: Mike Smith - husband, etc.
Primary Address
Number Street, City, State Zip
Check to Not Publish phone and email information in church directories
Home Phone Number
(xxx) xxx-xxxx
Cell Phone Number
(xxx) xxx-xxxx
Work Phone Number
(xxx) xxx-xxxx
Email Address
Secondary Email Address
Birth Date
MM
/
DD
/
YYYY
Occupation
Indicate "retired" if retired from that occupation or student
Work Place
Baptism Date (if known)
Baptism Church (if known)
Church Name, City and State
Confirmation Date (if known)
Confirmation Place (if known)
Church Name, City and State
Marriage Date (if applicable)
Date joined this church (if known)
Please list your skills, talents, and ministry interests
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