Information Update

Please complete the form below, check the agreement and privacy statement, and click "submit."


Only the fields marked with an asterisk are required. However, failure to provide information may limit our ability to provide ministries or services. 

Name *
Name
Cell Phone
Cell Phone
Home Phone
Home Phone
Work Phone
Work Phone
Address
Address
Add any pertinent instructions or details relating to this update.
Additional Personal Information (not required, but helpful)
Birthdate
Birthdate
Marriage Date
Marriage Date
Your privacy is important to us. Please read our privacy policy for details about how your information will be used and your privacy rights. By clicking the submit button you agree to provide this information to Immanuel Baptist church for statistical purposes, communication, and ministry registration. If you have selected the option for inclusion in the church directory, your submission of this form hereby grants the church permission to include your information for this purpose.
Select Directory Inclusions
Please check the boxes to indicate the information you wish to include in your Church Directory Listing. If you leave them all blank, and consent to the Church Directory (above), all fields will be included. Please Note: There must be at least one means of contact for a person or family to be included in the church directory. Also note: Only individuals who are included in the church directory will receive a copy of the directory.