Triad Baptist Church - Kernersville, NC: Family Info Form

We are in the process of updating our church database. Could you please take a moment and help us with the following information:

* Required

Errors

Last Name:

First Name:

Spouse’s Name:

Birthday:

Spouse’s Birthday:

Anniversary Date:

No. Of Children:

Children’s Names & Birthdays:

1.

Birthday:

2.

Birthday:

3.

Birthday:

4.

Birthday:

5.

Birthday:

6.

Birthday:

7.

Birthday:

8.

Birthday:

9.

Birthday:

10.

Birthday:

11.

Birthday:

12.

Birthday:

Address:

City:

State:

Zip:

Mailing Address: (If different)

City:

State:

Zip:

Are you in the city limits of Kernersville?

Yes

No

Phone Number:

Cell Phone: 1.

2.

Work Phone: 1.

2.

Email Addresses for each member of family:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Would you like to be added to the church email list for prayer requests and information?

YES

NO

Are you currently attending services regularly at Triad Baptist Church?

YES

NO

Are you and your family enrolled in a Sunday School Class?

YES

NO

If you are not currently attending services at Triad Baptist, do you wish to remain in our database?

YES

NO

Thank you for helping us update our records. Please return these to the church in the enclosed self addressed envelope or if you wish you may drop it by the office. Thanks again for your help!