Anchorage Members Database

Anchorage Church Contact Database

We value your details! Please take a few minutes to tell us about you.
Full Name*
Let us know your name
Gender:*

MaleFemale
Birthday*

DayMonthYear
Date
Nationality

Street Address

Street Address Line 2

CityState / Province / Emirate

Postal / Zip CodeYour Country
Contact Number (Call)*
Your Phone number for voice call
Contact Number (Whatsapp)*
Your Phone number for messaging
E-mail:*
example@example.com
Residency*

I am a resident of the UAEI am a visitor in the UAE
Emirate *
Currently Living in
Marital Status:*
Wedding anniversary*

DayMonthYear
Date
Spouse Information
Spouse Name*
Let us know your spouse's name
Spouse Birthday*

DayMonthYear
Date
Spouse Nationality*

Street Address

Street Address Line 2

CityState / Province / Emirate

Postal / Zip CodeYour Spouse is from ?
Spouse Contact Number
Mandatory (if spouse is member of the church) Optional (if not in UAE or not member of Anchorage)
Do you have children?*
Children Information

Please touch, hold & move date field towards left to fill in full date
Children Detail
I understand that the above personal information is being collected by the Anchorage Church staff and ministry for the purpose of sending me updates on the activities and events of the church.
Date:

DayMonthYear
DateHourMinutesAM/PM Option
Should be Empty:

Spouse Information