Information Update Form

Your Name

Your Email

Birthdate

FemaleMale

MarriedSingleOther

Spouse Name (if applicable)

Spouse Birthdate (if applicable)

Please note that children are encouraged to have their own mailbox at age 18.

Child 1's Name (if applicable)

Child 1's Birthdate (if applicable)

Child 2's Name (if applicable)

Child 2's Birthdate (if applicable)

Child 3's Name (if applicable)

Child 3's Birthdate (if applicable)

Child 4's Name (if applicable)

Child 4's Birthdate (if applicable)

Address

City

Province

Postal Code

Family Phone #

Cell Phone #

I give Portage Avenue Church permission to contact me via email (we only send an update email once a week)

I would like a church mailbox

I would like to be included in the church directory