Church Directory Form (one per child - under 18 years old)
Please fill out this form and click submit.
Name (First and Last)
*
Parent's names
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Date of Birth
*
Parent's Phone (Cell)
*
Parent's Phone (home)
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
Relationship to Fairwinds (check all that apply)
*
Please select all that apply.
Regular Attendee
Occasional Attendee
Visitor
On-line Only
AWANA
JAM
VBS
Sunday School
Jr. Worship Service
Teens
Age
*
Grade
*
Directory Information Permission
*
Please select all that apply.
Information can be shared in the Church Directory (Name included with Family)
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
Submit
Description
Please fill out this form and click submit.
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