Member Information Form

MEMBER INFORMATION – DIRECTORY UPDATES


Members, please fill out the form below so we can update our files. If you have any questions, call us at (615) 890-9659. Required fields are marked with an asterisk (*).

Family Last Name*

Your First Name*
Date of Birth* ,
Member* Yes No 

Spouse's First Name
Date of Birth ,
Member Yes No 

Anniversary Date
(Please include Year)		 ,

Contact Information

Street Address*
City, State, Zip* ,
Home Phone*
Your Cell Phone
Spouse's Cell Phone
Your E-mail Address
Spouse's E-mail Address

Children

Child 1 Name
Date of Birth ,
Member Yes No 

Child 2 Name
Date of Birth ,
Member Yes No 

Child 3 Name
Date of Birth ,
Member Yes No 

Child 4 Name
Date of Birth ,
Member Yes No 

Additional Children

If you have more children,
add same information here:

Business Owners

If you are a business owner and would like your business listed in the church directory, please fill in the information below.

Name of Business
Street Address
City, State, Zip ,
Phone
E-mail Address
Website
Type of Business

Areas of Service

Family Last Name:


First Name First Name First Name First Name


Area of Service Please check the boxes under the names in the columns.
Bible Class Teacher  Yes  Yes  Yes  Yes
Bible Class Helper  Yes  Yes  Yes  Yes
Keep Nursery or Help  Yes  Yes  Yes  Yes
Lead Announcements  Yes  Yes  Yes  Yes
Lead Opening Prayer  Yes  Yes  Yes  Yes
Lead Closing Prayer  Yes  Yes  Yes  Yes
Lead Singing  Yes  Yes  Yes  Yes
Lead Communion  Yes  Yes  Yes  Yes
Serve Communion  Yes  Yes  Yes  Yes
Read Scripture  Yes  Yes  Yes  Yes
Count Attendance / Usher  Yes  Yes  Yes  Yes
Sunday A.M. Worship Greeter  Yes  Yes  Yes  Yes
Preach / Lead Wed. Devo  Yes  Yes  Yes  Yes
Lead Devo at Youth Meetings  Yes  Yes  Yes  Yes
Help in following areas:
Benevolence Program  Yes  Yes  Yes  Yes
Local Evangelism Program  Yes  Yes  Yes  Yes
Missions Program  Yes  Yes  Yes  Yes
Prepare Matl's for Teaching  Yes  Yes  Yes  Yes
Participate in Visitation  Yes  Yes  Yes  Yes
Youth Activities  Yes  Yes  Yes  Yes
Prepare Food - Sick/Bereaved  Yes  Yes  Yes  Yes
Work in Church Library  Yes  Yes  Yes  Yes
Building Maintenance  Yes  Yes  Yes  Yes
Open / Lock Building  Yes  Yes  Yes  Yes
Mow Church Lawn  Yes  Yes  Yes  Yes
If there are any other areas of service where you would like to participate, please list here:

Other Comments:


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