We will miss you :)

We will miss you :)

If you have moved or are no longer attending Willingdon Church please provide us the information below to have your profile put on our inactive list. We will not contact you in the future.
Legal Name*

Legal First NameMiddle NameLegal Last Name
Alternative Names

As a multicultural/multilingual church, many individuals have provided our church with an alternative name or nickname to their legal name. If you have done so in the past and remember what those names may be please include them here.
(Optional) Other names I may have used to identify myself at Willingdon are?

Alternative First NameNick name
Email*

Confirmation Emailexample@example.com
Home Phone Number*
Please enter a valid phone number.
Last address provided to Willingdon Church (if known)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide your birthday.

Providing us with your birthday allows us to confirm your identity if your email or phone number does not match our records and ensures others with a similar name will not be accidentally deactivated.
Birthday*

MonthDayYear
Date

Confirmation