2026 Covenant Information Form

Help us stay connected!

Please fill out the following form to help us create and maintain accurate information for our Covenant family.

Contact Information

Name

Phone

Address

Family Members

If you are the head of a household (or co-head of a household), are there family members who should be connected with you in our information? List their names (first and last) below.

Household Family Members

Personal Information

Help us get to know you!

Birthdate

If you'd like to fill out your birthday and not complete the year, enter 0000 into the year.

Marital Status

Please select one option.

Single (Never Married) Married Engaged Widowed Common Law Divorced Separated

Gender

Please select one option.

Male Female Non-binary

School Attending (Elementary, Secondary, University)

Grade/Year

Please select one option.

JK SK 1 2 3 4 5 6 7 8 9 10 11 12 First Year Second Year Third Year Fourth Year Graduate/Further Studies

Workplace/Employer

Contact Preferences

Select communication preferences below to be added to specific email lists or to receive information about specific groups or ministries at Covenant.

Covenant Email Lists (Select all that apply)

Please select all that apply.

Covenant News & Notes (as needed updates) Covenant Prayer (an email prayer list) Covenant Weekly (a weekly email from Jon Limmer)

Covenant Groups (Select all that apply)

Please select all that apply.

Covenant Kids Covenant Youth Young Adults Women's Ministry Men's Ministry 55+ Ministry

Other Information, Notes, or Comments

Other things to share with us:

Description

Help us stay connected!

Please fill out the following form to help us create and maintain accurate information for our Covenant family.

2026 Covenant Information Form

Description

Please Fix the Following