Contact Form

I wish to be included in the Breeze Online Directory with access only from the congregation and church staff.

Yes No

Name

This address will receive a confirmation email

How would you like this email to appear?

Included in the Breeze Congregational Directory. Only Viewed by Church Staff

Cell Phone

The Church may send text messages to my cell phone

Yes No

How would you like this phone number to appear?

Included in the Breeze Congregational Directory Only Viewed by Church Staff

Home Phone

How would you like this phone number to appear?

Included in the Breeze Congregational Directory Only to Be Viewed by Church Staff

Address

Emergency Contact Name

Emergency Contact Phone

My Preferred Method of Communication with the Church Text Email Pick Up Written Materials at Church

Comments:

Birthday Date

My Birthday Month/Day

May be shared with the congregation. May Not be shared with the congregation.

I wish to receive the Wednesday Updates through email.

Yes No

Description

We want to stay connected with you! To help us serve you better, we kindly ask for your updated contact information. Your privacy matters to us—please let us know what information you’re comfortable sharing with the congregation and what you’d prefer to keep private.

Our printed directory has been replaced with the Breeze Church Management System, giving you easy access to an online directory and the ability to update your details anytime.

Thank you for taking a moment to complete and submit this form. Your participation helps us support you and honor your preferences.

Contact Form

Description

Please Fix the Following