church directory update

Thank you for helping us update our church directory.
Please answer the first two questions then answer the other information as it applies.
Note that required items are marked with an asterisk and must be filled out to submit. The submit button is at the bottom of the page

If, in the future, we have a secure, member only log-in directory, what would your interest be for inclusion? Please check one of the two following boxes:
I would like my information included in the secure online directory
I would NOT like my information included in the online directory

Would you be interested in having a pictorial directory in the future?
Yes
No

Please check appropriate item(s)
I do NOT want ANY information printed in the directory
My information is the same as in the previous directory
I have new or changed information (please fill out below noting that required items are marked with an asterisk and must be filled out to submit)

Adult First Name

Adult Last Name

Cell Phone Number

Email

Spouse First Name

Spouse Last Name (if different)

Spouse Cell Phone Number

Spouse Email Address

Land Line

Street Address

Street Address-line 2

Country

City

State

Zip/Postal Code

Names of children in the household

Additional Notes

Submit

church directory update

Worship Times

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