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 Listing Updated Information

Address *

Adult Information
First Name for Adult One: *
Gender:
Birthday
Month & Day will be published

Month Day Year Date Picker Icon
E-mail for Adult One: *
Receive Email Updates to this email address?

Yes No
Cell Number for Adult One
First name for Adult Two:
Gender:
Birthday
Month & Day will be published

Month Day Year Date Picker Icon
E-mail for Adult Two:
Receive Email Updates to this email address?

Yes No
Cell Number for Adult Two
Wedding Anniversary:

Month Day Year Date Picker Icon
Children Information (under the age of 18)
Child One:
Gender:
Birthday:

Month Day Year Date Picker Icon
Child Two:
Gender:
Birthday:

Month Day Year Date Picker Icon
Child Three:
Gender:
Birthday:

Month Day Year Date Picker Icon
Child Four:
Gender:
Birthday:

Month Day Year Date Picker Icon
Child Five:
Gender:
Birthday:

Month Day Year Date Picker Icon
Child Six:
Gender:
Birthday:

Month Day Year Date Picker Icon
Child Seven:
Gender:
Birthday:

Month Day Year Date Picker Icon
Child Eight:
Gender:
Birthday:

Month Day Year Date Picker Icon
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