New To WEB Contact Information Form

Family Member

Name

This address will receive a confirmation email

Mobile Phone

Home Phone

Address

Gender

Male Female

Birthdate

Born Outside of Canada

Yes No

Country of Birth

Marital Status Single Engaged Married Divorced Widowed Separated

Anniversary

Spouse Name (if applicable)

Please indicate if you would like to be included in the WEB Directory, and which information you would like included.

Unless specified in the form below, the name(s), address, phone number(s) and email address(es) will be published periodically in the WEB Church Directory for congregational use.

* Please note that information such as birthdates, anniversaries, grades, and whether born outside of Canada are for internal church use (e.g. statistics, sending celebration cards) and will not be published.

Opt into Printed Directory

Yes No

Permission to print address in directory:

Yes No

Permission to print home phone in directory:

Yes No

Permission to print mobile phone in directory:

Yes No

Permission to print email address in directory:

Yes No

First Aid Expiry

Please assign me a WEB Mailbox

Yes No

*Photo permission allows WEB to take photos or videos (digital or otherwise) for use in educational materials, publications, promotional materials, the West Edmonton Baptist Church website, Facebook and other social media sites and/or other materials. Permission releases West Edmonton Baptist Church and all persons acting under its authority from any claims you might have due to the initial or subsequent publication of such materials. Participants names will not be used.

Photo Permission

Yes No

West Edmonton Baptist Church periodically sends newsletters via email. These emails include important WEB Family News items as well as Global Ministries Reports. Please check below to give your consent to sign up for WEB email newsletters. (For individuals 18 years of age and older.)

E-news permission

Yes No

Once your form is completed, the WEB Church Office will print off the form and make a hard copy avaiable to you. We ask that you sign and date it below, and then hand it back into the office. Thank you.

I consent to West Edmonton Baptist Church using and disclosing this personal information as necessary for church ministry/operations. This includes, but is not limited to, publishing the information in the church directory (as indicated above), letter distribution, and/or notifying me/us of church events. West Edmonton Baptist Church will not sell, trade, or willfully disclose information to third parties.

As noted by the checkbox(es) above, I/we hereby grant permission to West Edmonton Baptist to take photos of our family to use for promotion of church activities. I/we hereby grant permission to West Edmonton Baptist Church to take photos of our family to use on the church website.

Name of Parent/Guardian (if applicable):

________________________________________________

Signature:

________________________________________________

Date:

________________________________________________

New To WEB Contact Information Form

Description

Please Fix the Following