Emergency contact form

This form is to help Riverbend United Church take better care of you in case of emergency.  This information will be kept strictly confidential.  The information can be updated at any time by contacting the church office or completing an updated form.  Please complete this online form and it will be sent automatically to the office, or print and leave it in the Offering plate at Church.  Thank you!

Please enter the email address for your local emergency contact.
Enter the email address of your family emergency contact.