Kish Church Directory Form

Kish Church Directory Form

The directory is a great way for the Kish Family to contact one another! Please submit this form if you would like to add yourself, a spouse, or children to the directory. Questions? Please email Saundra at kishvalleygrace@gmail.com.
Your Information
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Home Phone Number
Please enter a valid phone number.
Your Cell Phone Number
Please enter a valid phone number.
Print my phone number(s) in the directory:

YesNo
Birthday

MonthDayYear
Date
Your Email
example@example.com
Print my email in the directory:

YesNo
Marital Status
Anniversary Date

MonthDayYear
Date
Occupation
Employer
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Would you like to add a spouse to your profile?

YesNo

Add Your Photo

Choose a photo that includes everyone you added to your profile! Don't have a photo? No problem, stay tuned to the Kish Update Email and announcement slides before the Sunday service to see when you can have a professional photographer take your photo!
File Upload

Cancelof

Privacy Preferences
If you select "no", you will be added to the church database, but your information will not appear in the printed directory.
Permission to Add Your Profile to the Printed Directory

YesNo
By submitting this form, I confirm that the information provided is accurate, and I am willing to participate in the church directory.
Should be Empty:

Your Information