Be a Part of the BUMC Directory

Directory Information

Please update your information for the BUMC Directory and our internal records.


Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page ( Important: Delete this tip before you publish the form.

About You

Family Name(Required)
Your Address


Child 1 Birthdate
Child 2 Birthdate
Child 3 Birthdate
Child 4 Birthdate

Email & Directory Information

I want to receive emails for:(Required)
Include in the Directory:(Required)
Are you interested in having a name tag?(Required)
More information will be coming soon.

We're so glad you are here.

Thank you for filling out this information for your child to help us better serve you!

Student Information 2022-2023

If applicable.
Do we have permission to contact your child on their cell phone?
Is your student on Instagram?
If applicable
In case of an emergency, who should we contact?