Directory Information Form

Note: Information provided here will be included in the printed Chalice UU Directory of Members and Friends and the Members-only section of the online Chalice website. This information will be used for congregation-related communication only.

Do you give permission to Chalice to print your contact information in our Directory?

Yes No

Do you give permission to Chalice to use your photo in our promotional materials?

Yes No

Name

Birthdate

This address will receive a confirmation email

Cell Phone

Home Phone

Address

Spouse/Partner name, birthdate, email, and cell phone

Children's names and birthdates

Include spouse and children's names in the Directory?

Do you want to update your photo? (If yes, email to office@chaliceuucongregation.org)

yes no

Description

Please fill out this form and click submit.

Directory Information Form

Description

Please Fix the Following