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 Email 

General Information                                     info@eastonworshipcenter.org 

 Snail Mail 

Easton Worship Center
5400 Strawberry Farms Blvd
Columbus, OH 43230
Phone: 614.890.4242 

 Have A Question Or Comment? 
If you have questions, or would like to leave us a message, please fill out the form below.

First Name:
 *
Last Name:
 *
Email Address:
Address:
City:
State:
Zip Code:
Comments:
 *
Do not enter anything in this field:
* indicates a required field

 Family Profile Information/Updates 

There are two ways to submit your Family Profile
Information or Updates

 Download Profile (Word) 

Click the image to download the Family Profile Form.  This may take a couple of minutes, depending on your connection speed.  If the file does not download properly,
contact the church office and we will email it to you as soon as possible.

Once the form has appeared, click the printer icon on your toolbar, or click on "File" and then "print".  After you have filled out the form, you may mail it to the office or drop it in the offering at church.

-OR-

 Submit Information Electronically 

To submit your Information / Updates electronically, please fill in the fields below and click submit. 

HH = Head of Household (if you are single, use these fields)

S = Spouse

Please list all names as you desire them to appear in our Telephone Directory.

Ex: List your first name as the name you go by instead of your "legal" name.

HH Last Name:
 *
HH First Name:
 *
Middle Initial:
HH Mailing Address:
HH City:
HH State:
HH Zip Code:
HH Home Phone:
HH Work Phone:
HH Cell Phone:
HH Email:
HH Birthday (mm/dd/yy):
 
 
May we publish this information in future Telephone Directories?
Yes
No
 
Please DO NOT publish the following information. Check all that apply:
Birthdays (year is automatically excluded)
Address
Home Phone
Email
 
 
If you are the only member of your household please skip to the bottom and click SUBMIT.
 
If you have other family information to enter please continue
 
S Last Name:
S First Name:
S Middle Initial:
S Work Phone:
S Cell Phone:
S Email:
S Birthday (mm/dd/yy):
 
Anniversary (mm/dd/yy):
 
 
Children living at home
 
Enter Last Names ONLY if different from HH Last Name
 
Child 1 Last Name:
Child 1 First Name:
Child 1 Birthday (mm/dd/yy):
Child 1
Male
Female
 
 
Child 2 Last Name:
Child 2 First Name:
Child 2 Birthday (mm/dd/yy):
Child 2
Male
Female
 
 
Child 3 Last Name:
Child 3 First Name:
Child 3 Birthday (mm/dd/yy):
Child 3
Male
Female
 
 
Child 4 Last Name:
Child 4 First Name:
Child 4 Birthday (mm/dd/yy):
Child 4
Male
Female
 
 
Please continue to enter information below for remaining children:
Remaining Children
Do not enter anything in this field:
* indicates a required field

Sign Guest Book  View Guest Book 
Seeking God . Finding Purpose . Sharing Love

Easton Worship Center
5400 Strawberry Farms Blvd.
Columbus, OH 43230
PH: 614.890.4242

Copyright 2003-2009 by Easton Worship Center Assembly of God, Inc. 
All rights reserved.

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