To update your information in the HPC database, please fill out the form below. If you have any questions, contact Kathy Meuzelaar at kmeuzelaar@highpointchurch.org or 836-3236 x144.


Name  Sex  

Status (choose one)      Birthday (M/D/Y)

Street Address

City   State    Zip

Primary Phone  Choose One 

Occupation 

Primary Email

Spouse's Name    Sex  

Birthday (M/D/Y)

Primary Phone  Choose One 

Occupation 

Primary Email


Age (choose one)   18-29     30-44     45-65     over 65

Child    Sex     Birthday (M/D/Y)
Child    Sex     Birthday (M/D/Y)
Child    Sex     Birthday (M/D/Y)
Child    Sex     Birthday (M/D/Y)


How long have you been at High Point?      I am a new attendee at HPC

Attendee Status:    I am a          My spouse is a

Please use email as my primary mode of communication
Please use US Mail as my primary mode of communication

Other Comments