Information Update

Name

First Name

Last Name

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Address Line 1

Address Line 2

City

State

Zip

Marital Status

If you are married what is the name of your spouse?

Do you have children living at home under the age of 18

Names and Ages of your children under 18 living at home.

Are you currently receiving our prayer request text messages?

Are you currently receiving our Wednesday email update?

Are you currently receiving pre-recorded voice messages or text messages from the church?

This is how we communicate weather related schedule changes as well as other emergency type communication