2024 Member Update Request
This form is for members to update their information. Please fill out this form and click submit.
First and Last Name
*
Maiden Name, if applicable
Gender
*
Please select one option.
Female
Male
Birthdate. Please include the year. The year is kept private.
*
What is your ethnicity? This is conference requested information.
*
Please select one option.
African (African, African American/Black
Anglo-Saxon (Caucasian, White)
Asian
Hispanic (Hispanic, Latino)
Select Option
African (African, African American/Black
Anglo-Saxon (Caucasian, White)
Asian
Hispanic (Hispanic, Latino)
Contact Information
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Do you want your address private in Breeze (church directory app)?
*
Please select one option.
Yes
No
Mobile Phone
*
Do you want your mobile phone number private in Breeze?
*
Please select one option.
Yes
No
Landline
Do you want your landline private in Breeze?
Please select one option.
Yes
No
Email
*
This address will receive a confirmation email
Do you want your email address private in Breeze?
*
Please select one option.
Yes
No
How do you want to stay connected?
Please check each way you want to stay connected.
*
Please select all that apply.
Friday night email
Midweek email
Congregational Care email
Occasional special event texts
Young Adults' communication
None of the above
Marital Status
Are you married?
*
Please select one option.
Yes, I'm married.
No, I'm single.
No, I'm a widow/widower.
If you are married, who is your spouse?
If you are married, when is your anniversary? Please include the year.
Children
https://riversidenashville.breezechms.com/form/2024NextGenerationsUpdate
If you have any children that still live with you, please list their names here, but update their information in the form above.
Membership
Please complete this section if you joined Riverside Chapel before 2015. Scroll to the bottom and submit if you joined after 2015.
How did you join Riverside?
Please select one option.
Transfer
Profession of Faith
Baptism
I am not yet a member, but I attend often.
When did you join Riverside? This can be an estimate.
If you transferred, from what church did you transfer?
Transfer Church's City and State
Submit
Description
This form is for members to update their information. Please fill out this form and click submit.
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