Personal Information

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Name

*

Birthdate

*

Email

*

This address will receive a confirmation email

Phone

*

Cell Phone

*

Address

*

Marital Status

Please select one option.

Married Single

Spouse

Spouses Cell Phone

Spouses Email

This address will receive a confirmation email

Spouses Birthdate

Wedding Anniversary

Children Information: Only for children under 18 years.

Child 1

Name (Child 18 & under)

Birthdate (Child 1)

Dedication Date

Baptism Date

Child 1 Cell Phone

Child 2

Name (Child 18 & under)

Birthdate (Child 2)

Dedication Date

Baptism Date

Child 2 Cell Phone

Child 3

Name (Child 18 & under)

Birthdate

Dedication Date

Baptism Date

Child 3 Cell Phone

Child 4

Name (Child 18 & under)

Birthdate

Dedication Date

Baptism Date

Child 4 Cell Phone

Communication Option

Would you like a weekly email .

*

Please select all that apply.

Yes No

Other Information

Employer

Occupation

Privacy Option

The Gathering may publish our information in the Church Directory

*

Please select one option.

Yes No

The Gathering may publish photos of our family members on the church website and miscellaneous publications

*

Please select one option.

Yes No

The information required in this document is collected to enable communication and to coordinate and collaborate the delivery of ministry services and administration tasks that The Gathering Church Windsor conduct.
For any further information regarding privacy rules please contact the Lead Administrator at mariette@thegatheringwindsor.com.

I agree to providing this information

*

Please select all that apply.

Yes No

If at any time you wish to have your information removed from our data base please record your preference in the box below, or contact the church office.

Description

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