Home UPDATE CHURCH MEMBER INFORMATION

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Last Name
First Name
Street Address  
City  
State  
Zip/Postal Code  
Member of Northside  Yes      No  
Date Joined Northside    MM   DD YYYY   (Please include year - Year will not be published)
Gender  Male     Female
Home Phone Number  (If You Cell number is your home number, enter number here)
Work Phone Number     NOTE: Only home phone numbers will be in directory.
Cell Phone Number     If You wish other numbers to be in the directory, contact the
Other Phone Number    church office staff.
Email Address
 Email Address 2
Birthday  MM   DD   YYYY   (Please include year - Year will not be published)
     

Spouse

Last Name

  
First Name  
Member of Northside   Yes      No  
Date Joined Northside   MM   DD YYYY   (Please include year - Year will not be published)
Gender   Male     Female
Home Phone Number    (If You Cell number is your home number, enter number here)
Work Phone Number     NOTE: Only home phone numbers will be in directory.
Cell Phone Number     If You wish other numbers to be in the directory, contact the
Other Phone Number    church office staff.
Email Address  
 Email Address 2  
Birthday   MM   DD YYYY   (Please include year - Year will not be published)
     
     
Anniversary

 MM   DD YYYY   (Please include year - Year will not be published)
     

Children Living at Home
Child's Last Name

Child's First Name

 Birthday

 MM   YY   YYYY

Gender

Male      Female

Date Baptized

 MM   YY   YYYY

Child's Last Name

Child's First Name

 Birthday

 MM   YY   YYYY

Gender

Male      Female

Date Baptized

 MM   YY   YYYY

Child's Last Name

Child's First Name

 Birthday

 MM   YY   YYYY

Gender

Male      Female

Date Baptized

 MM   YY   YYYY

Child's Last Name

Child's First Name

 Birthday

 MM   YY   YYYY

Gender

Male      Female

Date Baptized

 MM   YY   YYYY

Child's Last Name

Child's First Name

 Birthday

 MM   YY   YYYY

Gender

Male      Female

Date Baptized

 MM   YY   YYYY

Child's Last Name

Child's First Name

 Birthday

 MM   YY   YYYY

Gender

Male      Female

Date Baptized

 MM   YY   YYYY

Child's Last Name

Child's First Name

 Birthday

 MM   YY   YYYY

Gender

Male      Female

Date Baptized

 MM   YY   YYYY

 

 

 

 

 

 

Fill in each applicable field. When finished, click on the “Submit” button at the bottom of the form. This will take you to a “Confirmation Page” where you may review the information you entered. If you need to make corrections, press the browser “Back” button and you will be returned to the “Member Information” form. Make any needed corrections, and then click on the “Submit” button again.

If all the information in the “Confirmation” page is correct, click on “Home”. Your information will be placed in a secure folder and you will be returned to the main menu page. NOTE: Information you submit can only be accessed by Pastor Mark and Paul O.

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