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Help Us Contact You!

It is important to us that we be able to reach you if you want us to be able to do so. The information below is essential for us to track in order to determine staffing needs and make sure you are in the loop with things going on at Wildwind. Fill out whatever you're comfortable with. Thank you.

Basic Information


First Name


Last Name


Spouse name if married


Street Address


City


Zip Code


Home phone


Cell phone


Email address

 

Family Information

First child
Name: School grade:
Age: Date of birth (xx/xx/xx):
Gender (M or F):
Second child
Name: School grade:
Age: Date of birth (xx/xx/xx):
Gender (M or F):
Third child
Name: School grade:
Age: Date of birth (xx/xx/xx):
Gender (M or F):
Fourth child
Name: School grade:
Age: Date of birth (xx/xx/xx):
Gender (M or F):
Fifth child
Name: School grade:
Age: Date of brith (xx/xx/xx):
Gender (M or F):
If you have more than five children, please email us their information.

 

Church Involvement Information

Did you come to Wildwind from another church? Yes No

If yes above, how long had you attended that church?
Not Applicable
Less than one year
One to five years
Six to ten years
Eleven years or more

How did you first hear about Wildwind?

A friend of mine who attends the church invited me
Yellowpages or phone book
Newspaper article or ad
Drove by and saw the signs

If you first came to Wildwind because a friend invited you, please tell us the name of your friend:

Please select any of the following that interest you:

Information on age-level opportunities for children/teens
Information on opportunities for adults
Information on learning more about Wildwind
Information on getting involved in serving at Wildwind

How would you like us to use the information you have given us (check all that apply):
You may call me
You may email me
You may add my information to the next edition of Wildwind's directory



 

 

 

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