Family Information Form

March 30, 2024
By editor
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Please help us update our church database by filling out the form below. Names should be First, Middle, Last (in parentheses put what you are called by). Even if you think that we have your information, we need to doublecheck. We are missing many birthdays and anniversaries, even some children! Thanks for your help.

Adult 1 full name (called by):
first, middle or maiden, last (write name called by in parentheses)
Field is required!
Field is required!
Gender
Field is required!
Field is required!
Date of birth
Month, Day, Year
Field is required!
Field is required!
Mobile number
please include area code
Your Phonenumber
Invalid phonenumber!
Invalid phonenumber!
E-mail address
Your E-mail Address or write "none"
Field is required!
Field is required!
Wedding date (if applicable)
Month, Day, Year
Field is required!
Field is required!
Adult 2 full name (called by):
first, middle or maiden, last (write name called by in parentheses)
Field is required!
Field is required!
Gender
Field is required!
Field is required!
Date of birth
Month, Day, Year
Field is required!
Field is required!
Mobile number
please include area code
Your Phonenumber
Invalid phonenumber!
Invalid phonenumber!
E-mail address
Your E-mail Address or write "none"
Field is required!
Field is required!
Home phone (if applicable)
please include area code
Your Phonenumber or write "none"
Invalid phonenumber!
Invalid phonenumber!

Address:

Street address:
Field is required!
Field is required!
City
Field is required!
Field is required!
State
Field is required!
Field is required!
Zipcode
Field is required!
Field is required!
Name and contact information for emergencies (not someone on this form)
Name, phone number and/or emall, relationship to you
Field is required!
Field is required!
Number of children in family (there are 3 forms, leave blank or add more in box at bottom as needed)
(if they are adults, you are welcome to share info about them in the box at the bottom if you wish)
  • - select a option -
  • None
  • One
  • Two
  • Three
  • More
- select a option -
Field is required!
Field is required!

First child information:

Child's first, middle & last name (called by):
Field is required!
Field is required!
Gender:
Field is required!
Field is required!
Date of birth
Month, Day, Year
Field is required!
Field is required!
Child's personal email and phone number
(if applicable)
Field is required!
Field is required!

Second child information:

Child's first, middle & last name (called by):
Field is required!
Field is required!
Gender:
Field is required!
Field is required!
Date of birth
Month, Day, Year
Field is required!
Field is required!
Child's personal email and phone number
(if applicable)
Field is required!
Field is required!

Third child information:

Child's first, middle & last name (called by):
Field is required!
Field is required!
Gender:
Field is required!
Field is required!
Date of birth
Month, Day, Year
Field is required!
Field is required!
Child's personal email and phone number
(if applicable)
Field is required!
Field is required!
I give Christ Episcopal Church permission to take pictures of my child at church events and to use those pictures for church publications :
Field is required!
Field is required!
More information (additional contact information or other children may be added here if needed):
Field is required!
Field is required!
Submit

Details

Start:
May 1
End:
May 31
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