WE’RE UPDATING OUR RECORDS

Please assist us in updating our records. This information is very important to the church office for
communication purposes and keeping in touch. Please fill out this form in it’s entirety and drop it in
the offering plate or drop it off at the Welcome Center. Thank you so much for your help.

* Please Note*
Even if your information has not changed, please fill out the form in it’s entirety.

Single __________
Full Name _______________________________________
Married _________
Full Name of Spouse (if married):______________________
Divorced ________
Address: ______________________________________

City: ____________________ State: _______________ Zip: __________________

Township of Residence: _______________________

Home Phone Number: ___________________

Cell Phone Number: ________________________

Spouse Cell Phone Number: ____________________

Email Address: ________________________

Your Birthday (Month/Day/Year): ____/____/_____

Spouse’s Birthday (Month/Day/Year): ____/____/_____

Anniversary (Month/Day/Year): ____/____/_____

Name of children living at home & birthdays (month/day/year):

Full Name: ____________________________________ DOB: ____/____/_____

Full Name: ____________________________________ DOB: ____/____/_____

Full Name: ____________________________________ DOB: ____/____/_____

Full Name: ____________________________________ DOB: ____/____/_____

Full Name: ____________________________________ DOB: ____/____/_____

Comments, Requests, or Prayer Needs:

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