Church Directory

Last Name
*
First Name
*
Spouse's Name
Address
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
Phone Number
Spouse's Phone Number
Email Address
Spouse's Email Address
Birth Date
Spouse's Birth Date
Children(s) Names
I will email a picture of myself/my family
*
Do you give permission to have the following items included in a Church Directory? Check the box if YES. If you leave an item unchecked, this information will be kept confidential and will be accessed by Church Staff and/or Council Members only.
*

Address
Phone Numbers
Email Addresses
Birthday(s)

We are in the process of developing a Church Directory/Picture Book for our worship families. To ensure that we have the most accurate information in our directory, please fill out the following form and submit. If you can, please also provide a picture of yourself/your family and email it to lori.barikmo@gmail.com or 4glodowskis@gmail.com . If you are unable to provide a picture, we will make arrangements to get pictures taken at a later date.

Your cooperation and help are greatly appreciated!

Northland Lutheran Church

Welcome!

.