Membership/Household Information Form
Having the following information in our office records helps us to be in contact with you, and to be more connected as a church family. Please complete full household address information, and contact information for at least one individual at your address. The additional information is very helpful to us, too, so please provide us with as much of the information for additional individuals as you know, or is applicable to the person. This form is meant for individuals living at the same address. You may have children living at other addresses - if so, we'll keep your child's name in your records, but please submit a separate form for their address. This includes college students!
You can also use this form to update your address, email address, phone number, or other contact and personal information. Just provide the new information in the appropriate places below, and we'll update our records promptly.
Privacy Notes:
1. Data Sharing - Member names, addresses, phone numbers, and email addresses will be printed in the official Church Directory, unless a member has specifically requested that this information be kept private. All other information requested here is strictly for church internal records and operations. It will not be distributed, published, or shared in any way other than in-house, and as may be needed for pastoral/congregational care purposes.
2. Appearance in Photography - Springdale Presbyterian Church routinely publishes photographs of church activities in print media and/or online, via the church website, social media, etc. Unless you specifically tell us otherwise, you agree to the following Photo Release Waiver:
I hereby grant Springdale Presbyterian Church permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.
I hereby hold harmless, release, and forever discharge Springdale Presbyterian Church from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
Please indicate whether you do or do not agree to being depicted in church publications or online, by indicating your wishes where indicated on the form. This authorization/denial must be indicated for each household member.
You can also use this form to update your address, email address, phone number, or other contact and personal information. Just provide the new information in the appropriate places below, and we'll update our records promptly.
Privacy Notes:
1. Data Sharing - Member names, addresses, phone numbers, and email addresses will be printed in the official Church Directory, unless a member has specifically requested that this information be kept private. All other information requested here is strictly for church internal records and operations. It will not be distributed, published, or shared in any way other than in-house, and as may be needed for pastoral/congregational care purposes.
2. Appearance in Photography - Springdale Presbyterian Church routinely publishes photographs of church activities in print media and/or online, via the church website, social media, etc. Unless you specifically tell us otherwise, you agree to the following Photo Release Waiver:
I hereby grant Springdale Presbyterian Church permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.
I hereby hold harmless, release, and forever discharge Springdale Presbyterian Church from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
Please indicate whether you do or do not agree to being depicted in church publications or online, by indicating your wishes where indicated on the form. This authorization/denial must be indicated for each household member.