CHURCH DIRECTORY

“KNOXVILLE FIRST UNITED METHODIST CHURCH”  

 Family Directory Authorization Form

First United Methodist Church is developing a directory of families (parents and their children).  It’s a great resource for keeping in touch and acquainting new persons with the existing members of First United Methodist Church.  Please complete this form and return it to the church office as soon as possible.   

Directory Printing Options

____________YES, I want to be listed in the family directory.

____________NO, Please do NOT include me in the family directory. (Note: We still need your e-mail address for communication purposes.)

Please include me in the directory but DO NOT print the following information:

Address: ________ Phone number(s): _________ Email address: ________

Household Information: 

First Name ______________________________   Last Name _______________________________

Birthday ____________________  Occupation ___________________________________________

First Name ______________________________  Last Name _______________________________

Birthday ____________________  Occupation __________________________________________

Street Address____________________________________________________________________________

City______________________________________________          Zip Code_______________

Home Phone Number:  __________________________

Cell Phone Number:  ____________________________

Work Phone Number:  ___________________________

Email Address: ____________________________________________________________________

Anniversary Date: __________________________

Childrens(s) names:(please indicate if child’s last name is different)  

#1:_______________________________________ Birthday:  (mm/dd/yyyy)      _________________

#2:_______________________________________ Birthday:  (mm/dd/yyyy)      _________________

#3:_______________________________________ Birthday:  (mm/dd/yyyy)      _________________

#4:_______________________________________ Birthday:  (mm/dd/yyyy)      _________________

Signature: ____________________________________             Date: ________________________