Database Information Form

Contact Information

First Name: First Name: Last Name: Last Name:
Gender: Gender: Birthday: Birthday:   


First Name: Spouse First Name:
(spouse, if applicable)
Last Name: Spouse Last Name:
(if different)
Gender: Spouse Gender: Birthday: Spouse Birthday:   


Marital Status: Anniversary:   
(if married)


*Address:
*City: *Postal Code: *Home Phone:


1. Cell Phone: Work Phone: *Email Address:
2. Cell Phone:
(spouse if applicable)
Work Phone: Email Address:

*Only the family name/address/home phone number/email will be put in the church directory upon your consent.



Family Information

Child Name:Gender:Birthday:Dedicated:
Child 1 Name: Child 1 Gender: Child 1 Birthday:   Child 1 Dedicated:
Child 2 Name: Child 2 Gender: Child 2 Birthday:   Child 2 Dedicated:
Child 3 Name: Child 3 Gender: Child 3 Birthday:   Child 3 Dedicated:
Child 4 Name: Child 4 Gender: Child 4 Birthday:   Child 4 Dedicated:

SunWest Information

Courses

Name:BaptismDiscover SWCovenant CommuSpiritual GiftsPrayerGood Sense
Student 1 Name: Student 1 Baptism: Student 1 Discovering SW: Student 1 Covenant Commu: Student 1 Spiritual Gifts: Student 1 Prayer: Student 1 Good Sense:
Student 2 Name: Student 2 Baptism: Student 2 Discovering SW: Student 2 Covenant Commu: Student 2 Spiritual Gifts: Student 2 Prayer: Student 2 Good Sense:
Student 3 Name: Student 3 Baptism: Student 3 Discovering SW: Student 3 Covenant Commu: Student 3 Spiritual Gifts: Student 3 Prayer: Student 3 Good Sense:
Student 4 Name: Student 4 Baptism: Student 4 Discovering SW: Student 4 Covenant Commu: Student 4 Spiritual Gifts: Student 4 Prayer: Student 4 Good Sense:
Student 5 Name: Student 5 Baptism: Student 5 Discovering SW: Student 5 Covenant Commu: Student 5 Spiritual Gifts: Student 5 Prayer: Student 5 Good Sense:
Student 6 Name: Student 6 Baptism: Student 6 Discovering SW: Student 6 Covenant Commu: Student 6 Spiritual Gifts: Student 6 Prayer: Student 6 Good Sense:

Current Ministry Area

Name: 1: 2:
Name: 1: 2:
Name: 1: 2:
Name: 1: 2:
Name: 1: 2:
Name: 1: 2:

(if you are involved in more than one ministry area please list them on the back with your name)


LIFE Group:
(if applicable give the group leader's name)


Campus attended:
Permission to publish name and contact information in the church directory:
*Only the family name/address/home phone number/email will be put in the church directory upon your consent.

:
* denotes required field