Directory Information Update
If you are new to our church, have moved, had a child born or go to college, or have had information change in the last six months, please fill in the information below on all family members living at home. College students, please fill out an individual entry so that we may have your contact information while you are at school.
If you are updating information, please fill in only the areas that have changed. Updates will appear in the next directory if you wish them to be published.
This information will only be used by Blue Springs Assembly and its members.
Personal Information
FIRST NAME*
LAST NAME*
BIRTHDAY
AGE RANGE Select0-1213-1920-3536-4546-5555+
* Required Information
Family Information
MARITAL STATUS SelectMarriedSingleWidowedDivorced WEDDING ANNIVERSARY
SPOUSE NAME SPOUSE BIRTHDAY
CHILDREN (Please enter the names and birthdays of your children)
Contact Information
HOME ADDRESS
CITY ZIP CODE
HOME PHONE
WORK PHONE
CELL PHONE
E-MAIL
SPOUSE E-MAIL
SPOUSE WORK PHONE
SPOUSE CELL PHONE
Additional Information
Comments:
Your information will only be used by Blue Springs Assembly and its members. You have the option to be included in the church directory or to keep your information private. Minors will only be listed with parents names. Please select "Yes" or "No."
Do you wish to be listed in the BSA Directory and give the church permission to print the information you have submitted in the directory? YesNo
Ministry Information
If you’d like to be part of the team and serve in a ministry at Blue Springs Assemby, please visit our Volunteer Ministry Page