Glamorgan Church - Data Request Form

4715 -45Street SW, Calgary, Alberta, T3E 3W5
Phone: 403-242-1921 glamorganchurch@shaw.ca Fax: 403-242-3570

One form per family/household is required, unless there are adult individuals in your household
who would like to be listed separately. This information is for our congregational database.

IS THIS A NEW REQUEST OR CHANGE REQUEST

First and Initials Last Gender Birthdate
(YYYY-MM-DD)
Person1: Male
Female
Person2: Male
Female
          
Wedding Date(YYYY-MM-DD):

Please List my/ourName(s) in the Church Directory:   YES   NO

I currently have a church key : 

I would like a churchmail box : 

Address: 
Apt #          StreetAddress 1 StreetAddress 2
               City Province Postal Code     

Please List my/our Address in the Church Directory:  YES        NO  

Person1 :
Home Phone Work Phone Cell Phone Email Address
Person2 :
Home Phone Work Phone Cell Phone Email Address


Please List my/our Home Phone Number in the Church Directory:    YES      NO

Please List my/our Email Address in the Church Directory:              YES    NO  

Please list anyspecial instructions for phonenumbers/emails:

CHILDREN: First & Initials Lastname Gender Birthdate
(YYYY-MM-DD)
Child1: Male
Female
Child2: Male
Female
Child3: Male
Female
Child4: Male
Female
Child5: Male
Female

Please List my/our Children's First Names in the Church Directory:   YES   NO

FOSTER
CHILDREN:		 Last First Initial Birthdate
(YYYY-MM-DD)
Foster
Child1:		 Male
Female
Foster
Child2:		 Male
Female
Foster
Child3:		 Male
Female
Foster
Child4: 		Male
Female
Foster
Child5:		 Male
Female

Please List my/our Foster Children's First Names in the Church Directory:   YES   NO

MiscellaneousData: Person1 Person2
BeganAttend
GlamorganChurch (YYYY-MM-DD):
Occupation:
(Current or Past)
Skills/Hobbies/Areasof Interest
you would be willing to share
(i.e. general repair, painting,
carpentry, seamstress, artistic,
electrical, writing, computer/technical,
driving, event coordinator, drama,
puppetry, teaching, clerical, visitation,
musical, decorating…etc.)
Ministry/ChurchInvolvement:
Past & Present (i.e. Lay leader,
usher, greeter, teacher, council member,
choir, worship team, musician,
sound operator, committee member,
missions…etc.)

PRIVACY STATEMENT:Glamorgan Church of God will endeavor to protect the provided data and only use it in the life and ministry of Glamorgan Church of God. We will not sell or distribute this data to any organization outside of our church. Please call the church office with any questions or concerns regarding this policy or the use of the given data.




*By pressingSubmit you are agreeing to the above Privacy Statement and providing us with the attached information to be used at Glamorgan Church for its ministries and programs.