Church Community Information Update

Name

Address

Cell Phone

Do you want to enroll to receive text alerts from Kern? Yes No

Birthdate

Spouse Information

Spouse Name

Spouse Cell Phone

Do you want to enroll to receive text alerts from Kern? (Spouse) Yes No

Spouse Birthdate

Other Phone numbers you want to give (home, work, etc). Please Identify what these numbers are.

Children Information

Names & Birthdates of Children living in the home

Family Photos

Please consider uploading a photo to be used with your profile. You can upload a photo for both spouses (if married) and/or a family photo. These photos will be inserted on your profile in our database to help identify you.

Upload your Photo

Upload (8MB)

Upload a 2nd Photo (Spouse)

Upload (8MB)

Upload a 3rd Photo (Family Photo)

Upload (8MB)

Description

We're updating our records and want to make sure we have the most accurate contact information for you and your household. Please take a moment to fill out this short form so we can stay connected.

Church Community Information Update

Description

Please Fix the Following