Christ Church Pelham - Database Update Form

Please take a minute to fill out this form. Questions marked with a red asterisk are required. Other questions are optional.

We hope that every member, former member, visitor, and friend over the age of 18 will fill this form out. If you have children under age 18, we will reach out to you to collect thier information.

Name

Nickname

Suffix (Jr., Sr., etc.)

Gender

Marital Status Single Married Widowed

This address will receive a confirmation email

Phone

Address

Names of any other people who should be considered part of my immediate family who live at this same address

Do you have children under age 21?

Yes No

Please describe how your relationship to Christ Church. "Active" means you are enaged in some way with Christ Church. "Inactive" means you are not enagaged at all with Chriist Church.

Your Member Status will help us understand how often and in what ways we should contact you.

Status

Active Inactive

Member Status

Member (Active) Friend of the Parish Visitor Member (Inactive College Student (Active Family) Alumni / Moved Away Clergy Other

About Birthdays: It is important for both pastoral and program reasons that the clergy know your birthday, including the year. You will receive a prayer card on your birthday and we will pray for you by name on the Sunday adjacent to your birthday.

(Breeze doesn't allow you to put a birthday in without a year - so if you do not enter the year, we can't put your birthday into our system.)

If you do not enter your birthday, Fr. Matt or a staff member is very likely to reach out to you to ask.

Birthdate

The next few questions are optional.

Baptism Date

Confirmation Date

Anglican Reception Date

Marriage Date

Ordination Date (Deacon)

Ordination Date (Priest)

Ordination Date (Bishop)

Employer

College Name / Year

Graduate School Name / Year

These next questions will help us determine whether or not other people in the parish can contact you. We have an online directory as well as hard copy directory. Please answer both questions.

Hard Copy Directory

Yes No

Online Directory

Yes No

You are almost done! PLease take a second to let us know what your interests are at Christ Church.

Any other interests you want us to know?

I'd like to connect with Clergy and/or Staff (Please select as many as you wish) Please ask Father Matt to reach out to me I'd like to meet with Fr. Matt I'd like to make a Sacramental Confession to Fr. Matt Please ask Deacon Chisara to reach out to me Please ask our Director of Music, Dr. Justin Bischof, to reach out to me Please ask our Administrator, Ms Marie Main, to reach out to me Please ask our Director of Children's Ministry, Mr. Evan Felicetti, to reach out to me I'm new or newish to the Parish and would like to learn more.

Please upload a photo of yourself

Upload (8MB)

Is there anything else you want us to know?

Do you wish to receive text messages from Christ Church (we use Breeze to do that)?

Yes No

By selecting "Yes" above, I am consenting to receive SMS messages from Breeze regarding information and announcements for Christ Church Pelham. I understand that message and data rates may apply and message frequency varies. I can opt out by responding STOP at any time. For support I can text HELP to 87447. Please review the Breeze Privacy Policy and Terms of Service available at breezechms.com for more details.

Thank you for submitting this form! If you have any questions please call the Parish Office.

Christ Church Pelham - Database Update Form

Description

Please Fix the Following