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Information Update Form
We are updating records. Please complete the form to assure we have accurate information on file. All information submitted is kept confidential and will not be shared.
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* Indicates required question
Name
*
Your answer
Other names you go by
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Cell Phone
Your answer
Home Phone
Your answer
Email
Your answer
Membership Status
*
Member-Joined by statement, profession of faith or baptism)
Regular Attendee-Attends regularly but have not joined the church>
Required
Connect Group (Sunday School) Attending -If you are currently not attending a connect group, please enter NONE.
*
Your answer
Are you
*
Single
Married
Single Again
Widowed
Other:
Required
Spouse's Name
Your answer
Other names spouse may go by.
Your answer
Spouse-Date of Birth
MM
/
DD
/
YYYY
Spouse-Cell Phone
Your answer
Spouse-Email
Your answer
Spouse-Membership Status
Member-Joined by statement, profession of faith or baptism)
Regular Attendee-Attends regularly but have not joined the church>
Spouse-Connect Group (Sunday School) Attending -If you are currently not attending a connect group, please enter NONE.
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Preferred Phone Number for the church to contact you?
*
Your answer
If you are married, do you want your contribution statement combined with your spouse's contribution statement?
Yes
No
Other:
Clear selection
How would you like to receive your contribution statement?
*
Mail
Email
You download and print your own?
Other:
Would you like to receive the weekly church-wide email newsletter with upcoming events and information?
*
Yes
No
Other:
If yes, what email?
Your answer
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