Breeze Registration Form

Name

Gender

This address will receive a confirmation email

Phone

Does this phone accept text messages?

Address

Birthdate

Do you have other immediate family members who attend Unity in Lynnwood? If so, please list names and relationship below.

Name and Relationship

Online Directory Registration

Opting into the online directory will allow other church members to view your address, phone number and email address.
You may change this at any time from within your Breeze app.

Opt Into Online Directory

Yes No

Description

Please fill out this form and click submit.

Breeze Registration Form

Description

Please Fix the Following