Southwest Hills Community Church - Update Directory Information

southwest hills community church

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Update SHCC Member Directory Information

Thank you for taking a few minutes to update your contact information. This information will be used to distribute the SHCC Member Directory ONLY to SHCC members and regular attenders via an e-mailed document. We realize that we may have your contact information already, but we would like to verify it before it is distributed. IF YOU DO NOT WANT TO BE LISTED IN THE SHCC DIRECTORY, OR YOU NO LONGER ATTEND SHCC, PLEASE E-MAIL US.

Please fill out only one form per household

The fields in bold red are required.

First Name:
Last Name:
E-mail Address:
Spouse First Name:
Spouse Last Name (if different):
Spouse E-mail:
Main Contact Phone Number:	Use this for your home phone number. If you do not have a home phone, but have a mobile number that you use as a main contact number for your family, enter it here.
Mobile Phone:	Enter your mobile number only if you want it published in the SHCC directory.
Spouse Mobile Phone:	Enter your mobile number only if you want it published in the SHCC directory.
Address:
City:
State:
Zip Code:
PLEASE LIST YOUR CHILDREN THAT LIVE AT HOME WITH YOU FROM OLDEST TO YOUNGEST. Only provide your child's phone number and e-mail if you want this information published in the SHCC directory.

1st Child's Name:
1st Child's Birthdate:	Month: Day: Year: For internal use only; this will NOT be included in the directory.
1st Child's Phone #:	Only provide this information if you want it published in the directory
1st Child's E-mail:	Only provide this information if you want it published in the directory

2nd Child's Name:
2nd Child's Birthdate:	Month: Day: Year: For internal use only; this will NOT be included in the directory.
2nd Child's Phone #:	Only provide this information if you want it published in the directory
2nd Child's E-mail:	Only provide this information if you want it published in the directory

3rd Child's Name:
3rd Child's Birthdate:	Month: Day: Year: For internal use only; this will NOT be included in the directory.
3rd Child's Phone #:	Only provide this information if you want it published in the directory
3rd Child's E-mail:	Only provide this information if you want it published in the directory

4th Child's Name:
4th Child's Birthdate:	Month: Day: Year: For internal use only; this will NOT be included in the directory.
4th Child's Phone #:	Only provide this information if you want it published in the directory
4th Child's E-mail:	Only provide this information if you want it published in the directory

5th Child's Name:
5th Child's Birthdate:	Month: Day: Year: For internal use only; this will NOT be included in the directory.
5th Child's Phone #:	Only provide this information if you want it published in the directory
5th Child's E-mail:	Only provide this information if you want it published in the directory

6th Child's Name:
6th Child's Birthdate:	Month: Day: Year: For internal use only; this will NOT be included in the directory.
6th Child's Phone #:	Only provide this information if you want it published in the directory
6th Child's E-mail:	Only provide this information if you want it published in the directory
Additional Comments:

Small Groups:
A place to find friends...

Serving Teams:
Use your talents to get connected...

Membership:
Become a participating member...

Update SHCC Member Directory:
Update your member directory information online...