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Contact Info Update

HMPC Contact Information Update

We want to keep our contact records up to date and need your help. Please fill out the form below so that we can make sure we have your current information in our system. Your answers will be emailed directly to the church staff. Thank you!

Click here to download a printable version of this form to be filled out by hand.

*Today's Date:

Head of Household Information

*Family Last Name:
*First Name:
Middle Initial:
*Date of Birth:
Marital Status:	Married Divorced Widowed Single
Wedding Anniversary:
*Current Address:
*City:
*Zip Code:
*Best Phone Number:	This phone is a: Cell Phone Land Line
Alternate Phone Number:	This phone is a: Cell Phone Land Line
*Best Email to Contact You:	Include this email in the HMPC weekly email Include this email in the weekly youth email
Baptized:	Yes No
Ethnicity:	(asked for the annual statistical report only)
Current Small Groups and Volunteer Positions at HMPC:

Areas of Interest

Occupation:
Hobbies:

Spouse Information

Spouse First Name:
Date of Birth:
Best Phone Number:	This phone is a: Cell Phone Land Line
Alternate Phone Number:	This phone is a: Cell Phone Land Line
Best Email to Contact You:	Include this email in the HMPC weekly email Include this email in the weekly youth email
Baptized:	Yes No
Ethnicity:	(asked for the annual statistical report only)
Current Small Groups and Volunteer Positions at HMPC:

Spouse Areas of Interest

Occupation:
Hobbies:

Children Information

Child's Name:
	Birth Date:	Gender: Male Female
	Grade Level:	Baptized: Yes No
Child's Name:
	Birth Date:	Gender: Male Female
	Grade Level:	Baptized: Yes No
Child's Name:
	Birth Date:	Gender: Male Female
	Grade Level:	Baptized: Yes No
Child's Name:
	Birth Date:	Gender: Male Female
	Grade Level:	Baptized: Yes No
Child's Name:
	Birth Date:	Gender: Male Female
	Grade Level:	Baptized: Yes No

Signatures

I understand that this information will be used in the church database and will not be sold to a third party. My information will be viewable to others who have access to the Hamilton Mill Presbyterian database and access has been/will be granted to this database to me as well.
*Signature:
	*Date:
Signature of Spouse:
	Date:

*Required Fields

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