Directory

Please fill out the following information to be included in the Church directory.

Head of Household *

First

Last

Birthday *

Anniversary *

Spouse *

First

Last

Birthday *

Child 1 *

First

Last

Birthday Child 1 *

Child 2 *

First

Last

Birthday Child 2 *

Child 3 *

First

Last

Birthday Child 3 *

Child 4 *

First

Last

Birthday Child 4 *

Child 5 *

First

Last

Birthday Child 5 *

Child 6 *

First

Last

Birthday Child 6 *

Street Address *

City *

Postal Code *

Email *

Phone Number *

Text? *

Yes No

Phone Number *

Text? *

Yes No

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