2009 Church Directory - Summer

Please take a moment to fill out this form to help us keep up-to-date records in the church office. Information you share with us here will be printed in the church directory and will available online in a password-protected .pdf file available only to church members. If there is information you want the church office to have but do NOT want printed in a directory, etc, put that information in the DO NOT PUBLISH box below.

* Required

Last Name *

First Names * First name of adult(s). Use "&" for husband & wife

Child Names First name of children (include last name if different than that of parents). Separate with a comma.

His Name Man's/Husband's name

His Birthday Man's/Husband's birthday (year not needed)

Her Name Woman's/Wife's name

Her Birthday Woman's/Wife's birthday (year not needed)

Address *

City *

State *

Zip *

Home Phone

His Work

Her Work

His Cell

Her Cell

No Publish You may give us cell #, work # or whatever. Any info you have here will be for office use only and will NOT be published. Do not list this info in another box if you do not want it published. Please clearly label any information you give us here.

His E-Mail

Her E-Mail

Prayer Chain Put any addresses here (separated by a comma) that you want added to the church prayer chain email list. You may remove your address at any time).

Announcements Put any addresses here (separated by a comma) that you want added to the church announcemnt email list. (Maybe 6-8 emails per year) You may remove your address at any time).

Child 1

1 BDay Birthday of first child (year helpful)

Child 2

2 BDay Birthday of second child (year helpful)

Child 3

3BDay Birthday of third child (year helpful)

Child 4

4 BDay Birthday of fourth child (year helpful)

Child 5

5 BDay Birthday of fifth child (year helpful)