church family information form

Community is one of our core values and we want to do what we can to care for and connect everyone. We are updating our records to help us do that. We would love everyone (whether you’re new or have been here for awhile) to fill this out.

If this form does not fit your family or you have any questions, please reach out to Catherine Wagg our Administrator and she would be happy to help: 905-634-1849 x15.

Your privacy is important to us. The information you provide will be used only for church communication and will not be shared.

How long have you been part of Wellington Square?

I'm/We're new (last 6 months)

I've/We've been here more than 6 months

Family Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Adult 1 Name

First Name

Last Name

Phone

(###)

###

####

Preferred Pronouns

Emergency Contact - name, relationship, and phone number (enter all this information in the field below)

Sign me up for the weekly newsletter

Yes

No, I already receive the newsletter

No, I'm not interested

Date of Birth

YYYY

Anniversary Date

YYYY

Adult 2 Name

First Name

Last Name

Phone

(###)

###

####

Preferred Pronouns

Emergency Contact (name, relationship, and phone number)

Sign me up for the weekly newsletter

Yes

No, I already receive the newsletter

No, I'm not interested

Date of Birth

YYYY

Child, Youth, Dependent #1 Name

First Name

Last Name

Preferred Pronouns

Date of Birth

YYYY

Child, Youth, Dependent #2 Name

First Name

Last Name

Preferred Pronouns

Date of Birth

YYYY

Child, Youth, Dependent #3 Name

First Name

Last Name

Preferred Pronouns

Date of Birth

YYYY

Child, Youth, Dependent #4 Name

First Name

Last Name

Preferred Pronouns

Date of Birth

YYYY

Is there anything else you would like to share with us?

church family information form

wellington square united church