Fill Out the Church Family Data Form Here Thank you for filling out this form. Be sure to click the submit button below.PART 1: Adults in HouseholdName of Adult 1 in Household:Adult 1 Email (if any): Mark as Private? Check to Mark as Private Adult 1 Cell Phone (if any):Mark as Private? Check to Mark as Private Adult 1 Receive Newsletter & Prayer Requests? By Email By Text By Email and Text No Notifications Adult 1 Birthdate: Month Day Year We would greatly appreciate knowing the YEAR of your birthdate so we can celebrate milestone occasions with you when they come.Name of Adult 2 in Household:Adult 2 Email (if any): Mark as Private? Check to Mark as Private Adult 2 Cell Phone (if any):Mark as Private? Check to Mark as Private Adult 2 Receive Newsletter & Prayer Requests? By Email By Text By Email and Text No Notifications Adult 2 Birthdate: Month Day Year We would greatly appreciate knowing the YEAR of your birthdate so we can celebrate milestone occasions with you when they come.Adults 1 & 2 Wedding Anniversary (if applicable): MM slash DD slash YYYY We would greatly appreciate knowing the YEAR of your wedding anniversary so we can celebrate milestone occasions with you when they come.Household Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Household Landline (if any):Secondary Address if Applicable (winter home, military, etc.):PART 2: Children in HouseholdDo note that any cell phone numbers and email addresses for children and youth will NOT be published anywhere until they graduate from high school or turn 18. They are for internal use only by approved ministry directors in the coordination of church activities. Adult children who have moved out of the house or have turned 25 will receive their own entries in the church directory.Name of Child 1 in Household:Child 1 Email if Any (Marked Private until Age 18) Child 1 Cell Phone if Any (Marked Private until Age 18)Child 1 Receive Newsletter & Prayer Requests? By Email By Text By Email and Text No Notifications Child 1 Birthdate: Month Day Year We would greatly appreciate knowing the YEAR of your birthdate so we can celebrate milestone occasions with you when they come.Child 1 Name of School Where Presently EnrolledGradePre-KK123456789101112CollegeChild 1 Secondary Address if Applicable (college, military, etc.):Name of Child 2 in Household:Child 2 Email if Any (Marked Private until Age 18) Child 2 Cell Phone if Any (Marked Private until Age 18)Child 2 Receive Newsletter & Prayer Requests? By Email By Text By Email and Text No Notifications Child 2 Birthdate: Month Day Year We would greatly appreciate knowing the YEAR of your birthdate so we can celebrate milestone occasions with you when they come.Child 2 Name of School Where Presently EnrolledGradePre-KK123456789101112CollegeChild 2 Secondary Address if Applicable (college, military, etc.):Name of Child 3 in Household:Child 3 Email if Any (Marked Private until Age 18) Child 3 Cell Phone if Any (Marked Private until Age 18)Child 3 Receive Newsletter & Prayer Requests? By Email By Text By Email and Text No Notifications Child 3 Birthdate: Month Day Year We would greatly appreciate knowing the YEAR of your birthdate so we can celebrate milestone occasions with you when they come.Child 3 Name of School Where Presently EnrolledGradePre-KK123456789101112CollegeChild 3 Secondary Address if Applicable (college, military, etc.):Name of Child 4 in Household:Child 4 Email if Any (Marked Private until Age 18) Child 4 Cell Phone if Any (Marked Private until Age 18)Child 4 Receive Newsletter & Prayer Requests? By Email By Text By Email and Text No Notifications Child 4 Birthdate: Month Day Year We would greatly appreciate knowing the YEAR of your birthdate so we can celebrate milestone occasions with you when they come.Child 4 Name of School Where Presently EnrolledGradePre-KK123456789101112CollegeChild 4 Secondary Address if Applicable (college, military, etc.):Name of Child 5 in Household:Child 5 Email if Any (Marked Private until Age 18) Child 5 Cell Phone if Any (Marked Private until Age 18)Child 5 Receive Newsletter & Prayer Requests? By Email By Text By Email and Text No Notifications Child 5 Birthdate: Month Day Year We would greatly appreciate knowing the YEAR of your birthdate so we can celebrate milestone occasions with you when they come.Child 5 Name of School Where Presently EnrolledGradePre-KK123456789101112CollegeChild 5 Secondary Address if Applicable (college, military, etc.):Name of Child 6 in Household:Child 6 Email if Any (Marked Private until Age 18) Child 6 Cell Phone if Any (Marked Private until Age 18)Child 6 Receive Newsletter & Prayer Requests? By Email By Text By Email and Text No Notifications Child 6 Birthdate: Month Day Year We would greatly appreciate knowing the YEAR of your birthdate so we can celebrate milestone occasions with you when they come.Child 6 Name of School Where Presently EnrolledGradePre-KK123456789101112CollegeChild 6 Secondary Address if Applicable (college, military, etc.):Thank you for filling out this form. Be sure to click the submit button below.