church directory

We are in the middle of updating our church directory. If you would like to be included, please provide us with your updated information by filling out the information below and pressing the "send" button.

First Name

Last Name

Your Birthday (Optional)

Spouse's Name (Optional)

Spouse's Last Name (Optional)

Spouse's Birthday (Optional)

Anniversary (Optional) - Day/Month/Year

Kids'/Teenagers' Names and Birthdays(Optional)

Home Phone

Cell Number

Spouse Cell Number

Email

Primary Address #1

Primary Address Second Line

Country

City

State

Zip/Postal Code

Secondary Address First Line

Secondary Address Second Line

Country

City

State

Zip/Postal Code

I/My family are:
Regular attender (In Person)
Regular attender (Online)
I've completed the membership process

I would like to....
Have my church directory mailed to my home (please only choose this option if you are self-isolating at home).
Have my directory placed in my church mailbox.
Pick up my church directory once its available.

I understand that by filling out this form I give my permission for my information to be included in the church directory. The directory will be handed out only to those who regularly attend UBC.
Yes

Additional Comments for Directory Staff