An inclusive, Christ-centered community making a difference.

Update My Information

Get in the Loop, Stay in the Loop

Updating your information is so important here at Asbury First. We are a busy place, and we want to be sure YOU are in the loop with what is happening! This will help ensure we have the best and most accurate contact information for you.

NAME


First Name*
Invalid Input

Last Name*
Invalid Input

ADDRESS


Address*
Invalid Input

City*
Invalid Input

State*
Invalid Input

ZIP Code*
Invalid Input

I would be interested in receiving an electronic copy of the Visitor instead of it being mailed to my home.
Invalid Input

I'd like to list an additional address
Invalid Input

ADDITIONAL ADDRESS


Address
Invalid Input

City
Invalid Input

State
Invalid Input

ZIP Code
Invalid Input

CONTACT INFORMATION


Preferred Email*
Invalid Input

Please make sure I receive our weekly e-newsletter
Invalid Input

Preferred Phone Number*
Invalid Input

Additional Phone Number
Invalid Input

You may list my phone number in our church directory
Invalid Input

PERSONAL INFORMATION


Birthday
/ / Invalid Input

Update your photo!
Invalid Input

ADD A MEMBER OF THE HOUSEHOLD
Invalid Input

MEMBER 1


Member 1 Relationship
Invalid Input

NAME


First Name
Invalid Input

Last Name
Invalid Input

ADDRESS


Same as previous family member
Invalid Input

Address
Invalid Input

City
Invalid Input

State
Invalid Input

ZIP Code
Invalid Input

CONTACT INFORMATION


Preferred Email
Invalid Input

Please make sure I receive our weekly e-newsletter
Invalid Input

Please make sure I receive the weekly children/youth email
Invalid Input

Preferred Phone Number
Invalid Input

Additional Phone Number
Invalid Input

You may list my phone number in our church directory
Invalid Input

PERSONAL INFORMATION


Update your photo!
Invalid Input

Birthday
/ / Invalid Input

Anniversary Date (If Applicable)
/ / Invalid Input

Grade
Invalid Input

May we take and use photos of this child for promotional purposes?
Invalid Input

If you use or plan to use our childcare services, who is authorized to drop off and pick up this child?
Invalid Input

Is there anyone who should not drop off or pick up your child?
Invalid Input

Are there any allergies, dietary preferences, or medical conditions we should be aware of?
Invalid Input

MEMBER 2


Member 2 Relationship
Invalid Input

NAME


First Name
Invalid Input

Last Name
Invalid Input

ADDRESS


Same as previous family member
Invalid Input

Address
Invalid Input

City
Invalid Input

State
Invalid Input

ZIP Code
Invalid Input

CONTACT INFORMATION


Preferred Email
Invalid Input

Please make sure I receive our weekly e-newsletter
Invalid Input

Please make sure I receive the weekly children/youth email
Invalid Input

Preferred Phone Number
Invalid Input

Additional Phone Number
Invalid Input

You may list my phone number in our church directory
Invalid Input

PERSONAL INFORMATION


Update your photo!
Invalid Input

Birthday
/ / Invalid Input

Anniversary Date (If Applicable)
/ / Invalid Input

Grade
Invalid Input

May we take and use photos of this child for promotional purposes?
Invalid Input

If you use or plan to use our childcare services, who is authorized to drop off and pick up this child?
Invalid Input

Is there anyone who should not drop off or pick up your child?
Invalid Input

Are there any allergies, dietary preferences, or medical conditions we should be aware of?
Invalid Input

MEMBER 3


Member 3 Relationship
Invalid Input

NAME


First Name
Invalid Input

Last Name
Invalid Input

ADDRESS


Same as previous family member
Invalid Input

Address
Invalid Input

City
Invalid Input

State
Invalid Input

ZIP Code
Invalid Input

CONTACT INFORMATION


Preferred Email
Invalid Input

Please make sure I receive our weekly e-newsletter
Invalid Input

Please make sure I receive the weekly children/youth email
Invalid Input

Preferred Phone Number
Invalid Input

Additional Phone Number
Invalid Input

You may list my phone number in our church directory
Invalid Input

PERSONAL INFORMATION


Update your photo!
Invalid Input

Birthday
/ / Invalid Input

Anniversary Date (If Applicable)
/ / Invalid Input

Grade
Invalid Input

May we take and use photos of this child for promotional purposes?
Invalid Input

If you use or plan to use our childcare services, who is authorized to drop off and pick up this child?
Invalid Input

Is there anyone who should not drop off or pick up your child?
Invalid Input

Are there any allergies, dietary preferences, or medical conditions we should be aware of?
Invalid Input

MEMBER 4


Member 4 Relationship
Invalid Input

NAME


First Name
Invalid Input

Last Name
Invalid Input

ADDRESS


Same as previous family member
Invalid Input

Address
Invalid Input

City
Invalid Input

State
Invalid Input

ZIP Code
Invalid Input

CONTACT INFORMATION


Preferred Email
Invalid Input

Please make sure I receive our weekly e-newsletter
Invalid Input

Please make sure I receive the weekly children/youth email
Invalid Input

Preferred Phone Number
Invalid Input

Additional Phone Number
Invalid Input

You may list my phone number in our church directory
Invalid Input

PERSONAL INFORMATION


Update your photo!
Invalid Input

Birthday
/ / Invalid Input

Anniversary Date (If Applicable)
/ / Invalid Input

Grade
Invalid Input

May we take and use photos of this child for promotional purposes?
Invalid Input

If you use or plan to use our childcare services, who is authorized to drop off and pick up this child?
Invalid Input

Is there anyone who should not drop off or pick up your child?
Invalid Input

Are there any allergies, dietary preferences, or medical conditions we should be aware of?
Invalid Input

MEMBER 5


Member 5 Relationship
Invalid Input

NAME


First Name
Invalid Input

Last Name
Invalid Input

ADDRESS


Same as previous family member
Invalid Input

Address
Invalid Input

City
Invalid Input

State
Invalid Input

ZIP Code
Invalid Input

CONTACT INFORMATION


Preferred Email
Invalid Input

Please make sure I receive our weekly e-newsletter
Invalid Input

Please make sure I receive the weekly children/youth email
Invalid Input

Preferred Phone Number
Invalid Input

Additional Phone Number
Invalid Input

You may list my phone number in our church directory
Invalid Input

PERSONAL INFORMATION


Update your photo!
Invalid Input

Birthday
/ / Invalid Input

Anniversary Date (If Applicable)
/ / Invalid Input

Grade
Invalid Input

May we take and use photos of this child for promotional purposes?
Invalid Input

If you use or plan to use our childcare services, who is authorized to drop off and pick up this child?
Invalid Input

Is there anyone who should not drop off or pick up your child?
Invalid Input

Are there any allergies, dietary preferences, or medical conditions we should be aware of?
Invalid Input