Update Your Information

PGFUMC uses software to manage the contact information of our members and guests. Over time, people move, change phone numbers, and the data gets old. Use this form to update your information in our system.

Please fill out this form and click submit so that we can have the most up to date information on you. Please also fill it out for each member of your family.

Name

Gender

Please select one option.

Male Female

Cell Phone

Home Phone

This address will receive a confirmation email

Address

Birthdate

Marital Status

Please select one option.

Single Engaged Married Divorced Widowed Seperated Child/Yth

Anniversary

Additional Information

Allergies

Please select all that apply.

Cow's Milk Gluten Eggs Tree Nuts Peanuts Shellfish Wheat Soy Fish Other (Describe Below)

Other Allergies

ADA Needs

Please select all that apply.

Hearing Impaired Vision Imparied Wheelchair Bound Diabetes Severe ADD/ADHD Asthma Anxiety/Depression Intellectually Disabled Other (Describe Below)

Other Special Needs

If filling this form out for your child, and they are not yet in school, please select "No Grade" or leave blank.

Grade

Please select one option.

No Grade Pre-Kindergarten Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Graduated

School

Please select one option.

Prairie Grove Schools Farmington Schools Lincoln Schools Fayetteville Schools Home Schooled Other School District

Employer

Occupation

Update Your Information

Description

Please Fix the Following