URCiC Database Update Form

This form is to be used for adding NEW people to the database only. For all other updates to existing entries, please email the Office as usual.

Submitter's Name: Password:

Personal Information Name (including Title):

Address (inc Postcode) : Phone : Mobile: Email:

Age Information (optional): 0 - 4 5 - 7 8 - 11 12 - 18 19 - 25 26 - 45 46 - 64 65+ Not Given

Church Joining Information Infant Baptism Dedication Adult Baptism Confirmation Transfer of Membership Not Joining the Church

Date of joining or baptism :

Membership Status Church attended: Prestbury St Andrew's Warden Hill St Christopher's URCiC None

Membership Status: Member Adherent (attends Church regularly at least once a month) Occasional Attender Child Clergy None

Pastoral Visitor:

Are they a Pastoral Visitor? Yes No

Eldership? Serving Elder Non-Serving Elder Not an Elder

In Touch Do they want In Touch? No Yes - via Church By Post

Church Directory Do they want an entry in the Church Directory? No Yes

Do they want their phone number to appear? No Yes

Do they want their mobile number to appear? No Yes

Do they want their email address to appear? No Yes

Comments and Further Information