Church Directory Form

First Name

Last Name

Address

Phone Number

Email Address

Birthdates of everyone in your household

Wedding Anniversary

Question for secretary use only:

Would you like to be added to the church's prayer text line? (yes or no)

yes no

If yes, which phone number would you like included?

Would you like you and your family's birthdays & anniversaries listed on the church calendar? (yes or no)

yes no

How would you like to receive the church's newsletter? (email or mail)

email mail

Would you be interested in joining a small group? (yes or no)

yes no

If you have children, would you be interested in receiving information about what RCC has to offer? (yes or no)

yes no

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