Updating Our Contact Registry

Hi Church Family,

Please fill in the form below to help us update our church registry/directory. This is used so that staff have up to date phone numbers, email addresses, addresses, kids names etc.

We will publish a registry/directory for our church family that will only include names, phone numbers and email addresses. This will be available on our website on a password protected page. However, if you would rather not, please let us know in the form below.

Thank you very much for taking the time to do this.

Name (s)

First Name

Last Name

Email

Additional Email

Primary Phone

(###)

###

####

Additional Phone Numbers

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Additional Information

ie Kid(s) names; additonal phone numbers, etc

Checkbox

Yes, please put my name, phone number and email address in the directory for the church family

No, thank you, I'd rather not.