ODPC EC Directory Information Form

 

To be added to our ODPC-EC roster, please fill out the form below as completely as possible.  Your information will not be shared in any way with any entity outside of our church.  If you do NOT wish your contact information to be printed in the church directory, please be sure to answer appropriately.

 

 

Do you want your contact information listed in the church directory? 

 

First Name    Middle Initial    Last Name 

 

Street Address 

 

City        State       Zip 

 

Home Phone (xxx-xxx-xxxx)     Cell Phone (xxx-xxx-xxxx) 

 

Email    Birthday (mm/dd) 

 

Hobbies 

 

Are you a member of ODPC?     When did you become a member (month & year)? 

 

 

Spouse                                                Spouse                       Spouse

First Name    Middle Initial    Last Name 

 

Spouse Cell Phone (xxx-xxx-xxxx) 

 

Spouse Email    Spouse Birthday (mm/dd) 

 

Spouse Hobbies 

 

Is your spouse a member of ODPC?    When did he/she become a member (month & year)? 

 

 

Names of Children               Children's Birthdates (mm/dd/yyyy)