Greater Niagara Falls Church of God

Your Contact information!

All information will be confidential, unless you allow us to share by selecting answers below. If you move, or your contact information changes. Please keep us up to date!

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Please provide YOUR First and Last name *


First Name	Last Name

Mobile Phone number?

Phone Number

Email?

Email Address

Please provide YOUR SPOUSE First and Last name


First Name	Last Name

Mobile Phone Number?

Phone Number

Email?

Email Address

Please provide YOUR CHILD #1 First and Last name (Living at home)


First Name	Last Name

Please provide YOUR CHILD #2 First and Last name (Living at home)


First Name	Last Name

Please provide YOUR CHILD #3 First and Last name (Living at home)


First Name	Last Name

Please provide YOUR CHILD #4 First and Last name (Living at home)


First Name	Last Name

Please provide your address *


Address

Address Line 2

City	State	Zip Code

Home Phone Number?

Phone Number

Do you agree to be included in our new Church directory email(s) and phone(s) shared publically? *

Select all that apply

YES
NO

Do you agree to have your email(s) or phone(s) shared by Ministry leaders for volunteer help? *

Select all that apply

YES
NO

Do you require a return phone call from our Pastor? *

Select all that apply

YES
NO

Are YOU or YOUR FAMILY interested in volunteering for Ministry?

Any other information you wish for us to know?

* required