Contact Info Update

We may already have your contact info in our system but often duplicate records get created and so we want to get our records up to date. Please fill out the information below.
If you have any questions feel free to reach out to the church office.

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Heads of Household Info

Adult #1

First Name

Last Name

Birthdate

Email

Phone Number

Adult #2

First Name

Last Name

Birthdate

Email

Phone Number

Do you have any children you'd like to add?

Yes

No

Childens Info

Child #1

First Name

Last Name

Birthdate

Grade (2024-25)

Child #2

First Name

Last Name

Birthdate

Grade (2024-25)

Child #3

First Name

Last Name

Birthdate

Grade (2024-25)

Child #4

First Name

Last Name

Birthdate

Grade (2024-25)

Child #5

First Name

Last Name

Birthdate

Grade (2024-25)

Would you like your contact info to be included in a directory?

Yes

No