2018 Member Information Form | Bronte Seventh-day Adventist Church in Oakville, Ontario

Last Name*

This is the last name of the family for which you are filling in the form. It is also the last name that you'd like to have in the Church's directory.
Your First Name*
Your Date of Birth
Your Email Address
Children's Email Addresses (Optional)
Please enter the email addresses of any of the children or dependents in your household to whom you'd like email correspondence from the church sent.
PERMISSION TO EMAIL*
- Yes!
- No thanks.
May we have your explicit permission to send emails relating to events and happenings at our church to the email addresses that have you entered on this form? You may withdraw permission for any or all addresses at any time by sending an email to: communications@brontesda.com
Home Phone
Your Mobile Phone
PERMISSION TO TEXT*
- Yes!
- No Thanks
In 2017 we hope to start a new communication initiative that involves the use of text messages. Texting is an excellent way for us to communicate with each other and offers us the ability to automate sending out things like event reminders or last-minute announcements to the members of our church. We hope that you will participate. You may withdraw permission at any time. Incoming text messages may carry a very small cost based on your mobile phone provider.
Address
Please enter the address that you'd like to have listed in the Church directory as your home address. Ex: 5090 Johnson Road, Burlington, L9T 6L5

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CHILDREN - DIFFERENT LAST NAME
I have one or more children who go by a different last name
- Yes
- No, we all share the same last name
Child #1 - First Name
Child #1 - Last Name
Birthday
Child #1 - Mobile Phone Number
Please don't sign up for text messaging
- No text messages please
Tick if person is NOT a member of Bronte Seventh-day Adventist Church
- Not a member
Child #2 - First Name
Child #2 - Last Name
Birthday
Child #2 - Mobile Phone Number
Please don't sign up for text messaging
- No text messages please
Tick if person is NOT a member of Bronte Seventh-day Adventist Church
- Not a member
Child #3 - First Name
Child #3 - Last Name
Birthday
Child #3 - Mobile Phone Number
Please don't sign up for text messaging
- No text messages please
Tick if person is NOT a member of Bronte Seventh-day Adventist Church
- Not a member

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OTHER FAMILY MEMBERS
Are there other family members living at your address that you'd like to have included in the Church Directory?*
- Yes
- No thanks!
Other Family Member #1 - First Name
Other Family Member #1 - Last Name
Birthday
Tick if person is NOT a member of Bronte Seventh-day Adventist Church
- Not a member
Other Family Member #2 - First Name
Other Family Member #2 - Last Name
Birthday
Tick if person is NOT a member of Bronte Seventh-day Adventist Church
- Not a member
Other Family Member #3 - First Name
Other Family Member #3 - Last Name
Birthday
Tick if person is NOT a member of Bronte Seventh-day Adventist Church
- Not a member
Notes
Use this area to add notes about this entry

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CHILDREN - SAME LAST NAME