Crete Berean Church

Please fill out the form below, giving us the contact information that you would like us to have. The information you provide will only be used for church purposes and will allow us to contact you as needed.

Our online church directory can only be seen by those in our church family who have registered an email address and password with us. Therefore, the general public does not have access to our church directory and cannot view your information.

An updated picture for the directory will be... (Required)

Please choose one

emailed to the church office.

please take a picture of me/us on a Sunday morning.

Do you give us permission to list your family picture, name, address, phone number, birthday (month/day only) and email address in our online directory? Only our church family has access to this information. (Required)

Choose YES or NO below. You can turn on or off any of these options in the online directory.

Head of Household First and Last Name (Required)

Head of Household Birthday (Required)

Month/Day/Year - Year will not be displayed in Directory

Head of Household Cell Phone (Required)

Add this cell number to the following text groups:

Do not text this number.

Add this number to the LOOP text group to receive updates.

Add this number to the PRAY text group to receive prayer requests.

Head of Household Email Address (Required)

Can we send our weekly newsletter to this email? (Required)

Choose YES or NO below.

Head of Household Church Relationship (Required)

Please choose one from the checklist

Member

Regular Attender

Occasional Attender

Does Not Attend

Wedding Anniversary

Month/Day/Year - Year will not be displayed in Directory

Spouse First and Last Name

Spouse Birthday

Month/Day/Year - Year will not be displayed in Directory

Spouse Cell Phone

Add this cell number to the following text groups:

Do not text this number.

Add this number to the LOOP text group to receive updates.

Add this number to the PRAY text group to receive prayer requests.

Spouse Email Address

Can we send our weekly newsletter to this email?

Choose YES or NO below.

Spouse Church Relationship

Please choose one from the checklist

Member

Regular Attender

Occasional Attender

Does Not Attend

Mailing Address (Required)

Address, City, State, Zip

Physical Address

If different than mailing address

First Child's Name

List children college age and younger still living in your home.

First Child's Birthday

Month/Day/Year - Year will not be displayed in Directory

Second Child's Name

Second Child's Birthday

Month/Day/Year - Year will not be displayed in Directory

Third Child's Name

Third Child's Birthday

Month/Day/Year - Year will not be displayed in Directory

Fourth Child's Name

Fourth Child's Birthday

Month/Day/Year

Fifth Child's Name

Fifth Child's Birthday

Month/Day/Year

Sixth Child's Name

Sixth Child's Birthday

Month/Day/Year

List Any Additional Children Here With Birthdays

List the cell phone numbers and email addresses of your older children here so our Children and Youth Teams can stay in touch..

Use child's first name before listing contact information.