Update your information

You can help us keep our database up to date!

Simply fill out the form below with your complete information and we will be sure to update your information in the church database.

First Name:		Last Name:
Spouse Name:		Spouse Last Name:
Birth date:		Anniversary:
Spouse Birth date:		Anniversary:
Please check only one: Member Regular Attender Please put me on your mailing list for Special Events!

Address:
Address (Line 2):
City:		State:	Zip:

Home Phone:		Cell Phone:
Home Fax:		Email:
Work Phone:	May we contact you at work? (Y or N)	Please check if you wish to be unlisted or do not want your phone number given out.
Work Fax:

Child's Name:		Birth date:
Child's Name:		Birth date:
Child's Name:		Birth date:
Child's Name:		Birth date:
Child's Name:		Birth date:
Child's Name:		Birth date:

SERVICE TIMES:

Sunday Services:

Wednesday, 7:30 pm: