SFD Church Directory Form 26 Jan 26

Church Directory
District Assembly and Conventions 2026
Southern Florida District Church of the Nazarene
April 9-11, 2026
Lake Placid Camp and Conference Center
2665 Placid View Dr., Lake Placid, FL 33852

Information Due: February 28, 2026

Voting at District Assembly and Conventions
All voting at District Assembly and Conventions 2026 will be online.
All Reports are online only.
All Delegates will receive information by text and email for voting at District Assembly and Conventions 2026.
We will use information in this form; to give delegates and others access to vote at District Assembly and Conventions.
Unable to accept any paper reports for District Assembly and Conventions.
Local Church
Local Church*
Other Church
Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Add Church Mailing Address

YesNo
Church Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church Phone Number*
Please enter a valid phone number.
Church Email Address*
example@example.com
Church Website
Church Vimeo
Church Facebook
Church Directory Information
Lead Pastor
Lead Pastor Name

First NameLast Name
Lead Pastor Email
example@example.com
Lead Pastor Cell Phone Number
Please enter a valid phone number.
Lead Pastor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Spouse's Name

First NameLast Name
Add Co-Pastor Information

YesNo
Co-Lead Pastor

First NameLast Name
Co-Lead Pastor Email
example@example.com
Co-Lead Pastor Cell Phone Number
Please enter a valid phone number.
Co-Lead Pastor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Board Secretary Name

First NameLast Name
Board Secretary Email
example@example.com
Board Secretary Phone Number
Please enter a valid phone number.
Board Secretary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church Treasurer Name

First NameLast Name
Church Treasurer Email
example@example.com
Church Treasurer Phone Number
Please enter a valid phone number.
Church Treasurer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NMI President
NMI President Name

First NameLast Name
NMI President Email
example@example.com
NMI President Cell Phone Number
Please enter a valid phone number.
NMI President Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NDI Chair
NDI Chair Name

First NameLast Name
NDI Chairt Email
example@example.com
NDI Chair Cell Phone Number
Please enter a valid phone number.
NDI Chair Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NYI President
NYI President

First NameLast Name
NYI President Email
example@example.com
NYI President Cell Phone Number
Please enter a valid phone number.
NYI President Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church Staff
Church Staff #1
Church Staff #1

First NameLast Name
Church Staff #1 Position Title
Church Staff #1 Email
example@example.com
Church Staff #1 Cell Phone Number
Please enter a valid phone number.
Church Staff #1 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Add Another Church Staff Member

YesNo
Church Staff #2
Church Staff Name #2

First NameLast Name
Church Staff #2 Position Title
Church Staff #2 Email
example@example.com
Church Staff #2 Cell Phone Number
Please enter a valid phone number.
Church Staff #2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Add Another Church Staff Member

YesNo
Church Staff #3
Church Staff Name #3

First NameLast Name
Church Staff #3 Position Title
Church Staff #3 Email
example@example.com
Church Staff #3 Cell Phone Number
Please enter a valid phone number.
Church Staff #3 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Add Another Church Staff Member

YesNo
Church Staff #4
Church Staff Name #4

First NameLast Name
Church Staff #4 Position Title
Church Staff #4 Email
example@example.com
Church Staff #4 Cell Phone Number
Please enter a valid phone number.
Church Staff #4 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Add Another Church Staff Member

YesNo
Church Staff #5
Church Staff Name #5

First NameLast Name
Church Staff #5 Position Title
Church Staff #5 Email
example@example.com
Church Staff #5 Cell Phone Number
Please enter a valid phone number.
Church Staff #5 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Add Another Church Staff Member

YesNo
Church Staff #6
Church Staff Name #6

First NameLast Name
Church Staff #6 Position Title
Church Staff #6 Email
example@example.com
Church Staff #6 Cell Phone Number
Please enter a valid phone number.
Church Staff #6 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Add Another Church Staff Member

YesNo
Church Staff #7
Church Staff Name #7

First NameLast Name
Church Staff #7 Position Title
Church Staff #7 Email
example@example.com
Church Staff #7 Cell Phone Number
Please enter a valid phone number.
Church Staff #7 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Add Another Church Staff Member

YesNo
Church Staff #8
Church Staff Name #8

First NameLast Name
Church Staff #8 Position Title
Church Staff #8 Email
example@example.com
Church Staff #8 Cell Phone Number
Please enter a valid phone number.
Church Staff #8 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Add Another Church Staff Member

YesNo
Church Staff #9
Church Staff Name #9

First NameLast Name
Church Staff #9 Position Title
Church Staff #9 Email
example@example.com
Church Staff #9 Cell Phone Number
Please enter a valid phone number.
Church Staff #9 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Add Another Church Staff Member

YesNo
Church Staff #10
Church Staff Name #10

First NameLast Name
Church Staff #10 Position Title
Church Staff #10 Email
example@example.com
Church Staff #10 Cell Phone Number
Please enter a valid phone number.
Church Staff #10 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Submitter Info
Date*

MonthDayYear
Date
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Signature*

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Church Directory

Local Church

Church Directory Information

Lead Pastor

NMI President

NDI Chair

NYI President

Church Staff

Church Staff #1

Church Staff #2

Church Staff #3

Church Staff #4

Church Staff #5

Church Staff #6

Church Staff #7

Church Staff #8

Church Staff #9

Church Staff #10

Submitter Info