"Getting to Know One Another" Info
The information provided will serve multiple purposes, pending consent, to include but not limited to: a) creating a "Pictorial Directory" to reference @ home b) automatic phone system to receive church announcements, prayer requests, etc. c) posting Birthday/Anniversary in weekly bulletin
FAMILY LAST Name & First NAME(S)
FAMILY LAST NAME
First Name(s) if applicable i.e. John & Susie
Anniversary - if applicable
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number #1
Please enter a valid phone number.
Phone Number #2
Please enter a valid phone number.
Email #1
example@example.com
Email #2
example@example.com
Name & Birthday associated w/ Phone/Email #1
First Name (& Last Name if different from above)
Birthday
Name & Birthday associated w/ Phone/Email #2
First Name (& Last Name if different from above)
Birthday
Name & Birthday
First Name (& Last Name if different from above)
Birthday
Name & Birthday
First Name (& Last Name if different from above)
Birthday
Name & Birthday
First Name (& Last Name if different from above)
Birthday
Name & Birthday
First Name (& Last Name if different from above)
Birthday
Name & Birthday
First Name (& Last Name if different from above)
Birthday
Name & Birthday
First Name (& Last Name if different from above)
Birthday
File Upload Please upload a picture(s) that captures all those listed on form
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CONSENT: I/We ______ to Christ Keystone Church to __________ information provided on this form for any lawful purpose and with good intention that Christ Keystone Church intends.
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DO GIVE CONSENT/ USE ALL
DO GIVE CONSENT/ USE WRITTEN (NO PHOTO(S)
DO NOT GIVE CONSENT/PUBLICLY USE (CHURCH USE ONLY)
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