Information Update – Pfrimmer's Chapel Forms

Information Update

Help the church office stay up-to-date with the latest information. Have you moved lately, gotten married, or changed e-mail addresses or phone numbers? Want to sign-up for text alerts, all call, prayer chain, or e-bulletin? Use this form to update us on your information and communication preferences.

Your Name(Required)

First Middle Last

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Phone(Required)

Is this a cell phone?(Required)

Yes

No

Your Birth Date(Required)

Month

Day

Year

Would you like to receive the following messages?(Required)

All Text – receive text messages via cell phone

Prayer Chain Text – receive prayer concerns text messages via cell phone

Weekly E-Bulletin – via e-mail

None of the above

Select all that apply.

Do you have a spouse?(Required)

Yes

No

Widowed

Do you have (a) child(ren)?(Required)

Yes

No

Your Children(Required)

First Name

Middle Name

Last Name

Birth Date (mm/dd/yyyy)

Sex (M or F)

Click the + to add more an additional child.

Spouse Name(Required)

First Middle Last

Wedding Date(Required)

Month

Day

Year

Spouse Birth Date(Required)

Month

Day

Year

Spouse Primary Phone(Required)

Is your spouse primary number a cell phone?(Required)

Yes

No

Spouse Email

Would your spouse like to receive the following messages?

All Text – receive text messages via cell phone

Prayer Chain Text – receive prayer concerns text messages via cell phone

Weekly E-Bulletin – via e-mail

None of the above

Select all that apply.