Directory Information Form

Central church of Christ - Online Directory Update Form

The online directory is viewable only by registered & approved members of winnipegchurch.ca.
Last Name:*
Home Number
Please Check:*

New ListingUpdated Information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Adult Information
First Name for Adult One:*
Gender:
BirthdayMonth & Day will be published

MonthDayYear
E-mail for Adult One:*
Receive Email Updates to this email address?

YesNo
Cell Number for Adult One
First name for Adult Two:
Gender:
BirthdayMonth & Day will be published

MonthDayYear
E-mail for Adult Two:
Receive Email Updates to this email address?

YesNo
Cell Number for Adult Two
Wedding Anniversary:

MonthDayYear
Children Information (under the age of 18)
Child One:
Gender:
Birthday:

MonthDayYear
Child Two:
Gender:
Birthday:

MonthDayYear
Child Three:
Gender:
Birthday:

MonthDayYear
Child Four:
Gender:
Birthday:

MonthDayYear
Child Five:
Gender:
Birthday:

MonthDayYear
Child Six:
Gender:
Birthday:

MonthDayYear
Child Seven:
Gender:
Birthday:

MonthDayYear
Child Eight:
Gender:
Birthday:

MonthDayYear
Optional: If you would like to include a picture for the church photo directory in the lobby & the online directory, please upload a image using the Select Image button below.
Enter the message as it's shown*
Should be Empty:

Adult Information