Church Directory Listing Information for Church Directory Listing Head of Household Name #1: Birthday: Email Address: Cell Phone #: Text? Text? Yes No Head of Household Name #2: Birthday: Email Address: Cell Phone #: Text? Text? Yes No Wedding Anniversary: Home Address: Winter Address (if applicable): What months are you at the above winter address? Landline Phone Number (if applicable): Additional Household Member(s): (Name, Birthday, Email Address, Cell #) Permission to be included in Online Church Directory Permission to be included in Online Church Directory Yes, include me/us in password-protected online directory available only to BBC families (members & regular attenders) No, do not include me/us in the password-protected online church directory. Specify information that is for Church Office use only and to be excluded from the paper directory and/or online directory 14 + 14 = Submit Form