Church Directory Form (one per adult - over 18 years old)

Please fill out this form and click submit.

Name (First and Last)

*

Address

*

Date of Birth

*

Phone (Cell)

*

Phone (home)

Email

*

This address will receive a confirmation email

Saved

*

Please select all that apply.

Yes No Want to know more about Salvation

Baptized

*

Please select all that apply.

Yes No Want to know more about Baptism

Member at Fairwinds Baptist Church

*

Please select all that apply.

Yes No Want to know more about Membership

Relationship to Fairwinds

*

Please select all that apply.

Regular Attendee Occasional Attendee Visitor On-line Only

Directory Information Permission

*

Please select all that apply.

Information can be shared in the Church Directory (Name, Address, Phone, Email) Only name can be shared in Church Directory Do NOT include in Church Directory

Directory Photo Permission

*

Please select all that apply.

Photo CAN be shared in Directory Photo CANNOT be shared in Directory

Description

Please fill out this form and click submit.

Please Fix the Following

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