Update My Information - HICKORY RIDGE COMMUNITY CHURCH

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NEED TO UPDATE YOUR INFO
Please take a moment to fill out the information below.
If you have any questions/comments you can call (757) 421-7500
or email info to jrussell@hrcc7.org.

Personal Information

Please include all children under the age of 24.

* Indicates required field

Title: *

Name *

First

Last

Preferred Name *

Date of Birth: *

Suffix *

Jr. Sr. II, etc.

Family Position: *

Marital Status *

Gender: *

Member Status *

Member Prospective Member

Date of Marriage: *

Contact Information

Primary Address *

Line 1

Line 2

City

State

Zip Code

Country

Primary Phone Number *

Choose One *

Cell Home

Alternate Phone Number *

Choose One *

Cell Home

Email *

Alt. Email *

Family Information

Spouse Title *

Name of Spouse *

First

Last

Spouse Date of Birth *

Spouse reside at same address? *

If no, please include mailing address below.

Member Status of Spouse *

Member Prospective Member

Spouse Email *

Spouse Phone Number *

Choose One *

Cell Home

Spouse Address (If different from primary) *

Line 1

Line 2

City

State

Zip Code

Country

Family Information Continued

Child's Name *

[object Object]

Gender *

Date of Birth *

Dedicated or Baptized? *

Child's Name *

Gender *

Date of Birth *

Dedicated or Baptized? *

Child's Name *

Child's Name *

Child's Name *

Gender *

Gender *

Gender *

Date of Birth *

Dedicated or Baptized *

Date of Birth *

Dedicated or Baptized? *

Date of Birth *

Dedicated or Baptized? *

Special Skills or Hobbies (Please include yourself and your spouse)

Choose Any *

Accounting Art (Drawing/Painting) Caring for Babies Computer (Data Entry) Computer (Programming) Counseling Decorating Engineering (Electrical) Engineering (Mechanical) Hospitality (Greeting) Hospitality (Meals) Hospitality (Telephoning) Marketing/Advertising Medical (Dentistry) Medical (Doctor) Medical (EMT) Medical (Nurse) Music (Drums) Music (Keys) Music (Percussion) Music (Strings) Music (Vocals) Music (Other) Network (Engineering) Organization Project Management Sports (Basketball) Sports (Baseball/Softball) Sports (Soccer) Teaching (Adults) Teaching (Children) Teaching (Teens) Theatre (Costume Design) Theatre (Set Design) Trade (General) Trade (Automotive) Trade (Carpentry) Trade (Electrical) Trade (Flooring) Trade (HVAC) Trade (Painting) Trade (Plumbing) Writing

Submit

Staff
Calvin Corbitt, Lead Pastor
Jimmy Foster, Family Life Pastor
Jennifer Russell, Financial Admin.
Elders
Tom Tarrants - ttarrants@hrcc7.org
Rob Dempewolf- rdempewolf@hrcc7.org

Phone Number:
(757) 421-7500

Address:
3320 Battlefield Blvd. S.
Chesapeake, VA
23322

Home
About Us
Connect Card
Next Steps
Serve/Support
Get Connected
- Find a Small Group
Hickory Ridge Academy
- Visit Us Online!