Enter your information for the first time or to update the Church Directory information . . . .

Family Last Name:
Address:
E-mail:
Home Phone:
-
Marital Status:
Marriage Date if applicable:
Adult1 Name:
Adult1 Preferred Name:
Adult1 Occupation:
Adult 1 Cell Phone:
-
Adult1 OK to Text to Cell?
Adult 1 E-mail:
Adult1 Birthdate:
Adult1 Baptized:
Adult1 Baptism Date if applicable:
Adult1 Joining Church on:
Adult1 If Transferring, Church Name:
Adult1 Transferring Church City, State:
Adult2 Name:
Adult2 Preferred Name:
Adult2 Occupation:
Adult2 Cell Phone:
-
Adult2 Text to Cell:
Adult2 E-mail:
Adult2 Birthdate:
Adult2 Baptized:
Adult2 Baptism Date if applicable:
Adult2 Joining Church on:
Adult2 If Transferring, Church Name:
Adult2 Transferring Church City, State:
Child1 Name:
C1 Preferred Name:
C1 Sex:
C1 Birthdate:
C1 School:
C1 Grade:
Child 2
C2 Name:
C2 Preferred Name:
C2 Sex:
C2 Birthdate:
C2 School:
C2 Grade:
Child 3
C3 Name:
C3 Preferred Name:
C3 Sex:
C3 Birthdate:
C3 School:
C3 Grade:
Child 4
C4 Name:
C4 Preferred Name:
C4 Sex:
C4 Birthdate:
C4 School:
C4 Grade:
Names of Children Transferring membership (add Baptism Y/N and date if known):
Ministries in which you would like to be involved:
Hobbies/Intrests/Sports:
Permission to use phone on website, emails, etc:
Any personal story or message to the Pastor/Congregation: