GRACE BIBLE CHURCH DATABASE INFORMATION FORM

To be included in the printed Grace Directory (for both GBC members and all who are regularly attending worship services), or to make changes to your personal contact information already submitted to the Church Office, please complete this form.

Note:
1) This form must be completed in full and submitted before you are given access to the Members Section of this web site.
2) The below information is initially viewed only by Administrators of the GBC web site. It is "basically" secure on the internet. Most of the contact information will eventually be printed in the GBC Church Directory.
3)  If you choose to join the Prayer Email List, your email address will be given to John Driscoll (a member of GBC).
Thank you for submitting this information to the Church Office!

Today's Date (mm/dd/yyyy)

Last Name

First Name(s)

Street Address

City

State

Zip

Home phone

Mobile Phone 1 (name?)

Mobile Phone 2 (name?)

Email Address(es)

List any children (in the home) - names and birthdates (mm/dd/yyyy) or enter N/A

Please enter the adult(s') birthdate(s): mm/dd

Wedding Anniversary (mm/dd/yyyy)

Please check the following boxes to receive:
  • GBC email list for announcements and information updates
  • Prayer Requests by email. (Handled by John Driscoll)