Personal Information Form
We are currently in the process of updating our database and would request that you please submit this form with all information filled out. This will help us keep our records current as we prepare for an updated Church Directory. We need EVERYONE to fill out form ~ please. J (1 per family - Children over 18 fill out separate form)
Name: DOB:
Address:
Town: State: Zip Code:
Home #: Cell #:
Work #:
Spouse’s Name: DOB:
Cell #: Work #:
Marital Status: Wedding Date:
Would you like to receive e-mails for upcoming events?
Yes No
If yes which e-mail would you like us to send it to?
Email:
Please list all children under the age of 18.
Child’s Name: M F DOB:
Do you have tithe envelopes: Yes No
(if no would you like to receive them?) Yes
Would you like to be listed in our Church Directory?
What numbers would you like listed: (Check all numbers you would like listed) Home Number Cell Number
Work Number Spouse’s Cell
Spouse’s Work Number
Is it ok to call you at work if it is important? Yes No
Would you like to be on our Phone Tree to receive any information we need to let you know about? Yes No
If yes which number would you like us to use?
Phone #:
Do you attend a House 2 House group? Yes No
What is your Member Status?
Active Member (form on file) Regular Attender
