We ask you to provide the contact information below to keep our directories and database up to date.

First Name (required):

Last Name (required):

Address


Home Phone:

Cell Phone:

Email (required):

Birthdate (required):
 Include my birth day and month in Directory

Wedding Anniversary:
 Include our anniversary in Directory

Upload Family Photo for Directory Here


Spouse/Partner Information, if applicable:

First Name:

Last Name:

Cell Phone:

Email:

Birthdate:
 Include birth day and month in Directory


Child/rens' Information, if applicable:

Full name and birthdate for each child




 Include birth day and month in Directory


Consent for Directory (required)
 Yes, I/we give First Church of Christ permission to use my/our contact information and photograph in an online and printed version of the Directory to be distributed to the congregation of First Church. No, I/we do not wish to have my/our contact information or photo in the Directory.

By submitting this form, I/We understand that the above personal information will be available for all church congregants to view online, on apps for hand-held devices, and any printed directory. The church will have a unique user name and password. The online directory will not be accessible to the general public.

In consideration for participation in the online and printed directories, I/we hold harmless First Church of Christ, Congregational, West Hartford, United Church of Christ, for any and all unintended consequences of my/our listing in the online or printed directory.

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