Directory Update

Agnus Dei Directory Update

Thank you for helping us update our directory. All the information you provide is secure and will not be shared without your permission.

For each person in your household, please fill out the following information to the best of your ability. Click "Add another household member" at the bottom to add another family member. (You only need to fill out addresses once per household.) Once you are done, click "Submit."

Contact Information

This information is for the directory. If you prefer not to have information printed, please note in the comments.

First Name *

Middle Name *

Tip: If no middle name, write "none"

Your middle name will NOT be printed in the directory. If no middle name, write "none."

Last Name *

Preferred Name

Email Address

Landline Number

Mobile Number

Mailing Address

This information will be shared in the directory.

Mailing Address

Mailing Address Line 2

Mailing City

Mailing State

Mailing Zip Code

Home Address

Only fill out if different from mailing address. This information is for official church records only, and will NOT be in the directory.

Home Address

Home Address Line 2

Home City

Home State

Home Zip Code

Is there any information you would like to leave unpublished in the directory?

Tip: Please tell us what you would like to leave unpublished.

Personal Information

This data is for official church records only and will NOT be shared in the directory

Date of Birth *

Gender

Preferred Pronouns

Marital Status

Anniversary

School Grade

For children infant-grade 12 only. If no school grade, leave blank. For ages 0-5, use "Nursery/Preschool" or "Kindergarten" as appropriate.

Parochial Records

This data is for official church records only and will NOT be shared in the directory. Please fill out to the best of your ability. If you know a year but not a date, just use January 1st.

Baptized

Confirmed

Date Joined

Congregation of Baptism

Congregation of Confirmation

How Joined

Emergency Contact Information

OPTIONAL. Family member or friend outside of the congregation to contact in case of family or medical emergency. This information will NOT be shared with anyone, but is purely for emergency use.

Emergency Contact Name

Relationship

Emergency Phone Number

Emergency Alternate Phone Number