Pacific Yearly Meeting Directory Submission Form

The Pacific Yearly Meeting General Directory of Members & Attenders is published annually and may be periodically updated during the year.
Please direct any questions or concerns about the General Directory to the PacYM Communications Committee at communicationsclerk@pacificyearlymeeting.org

Questions about this form? Send an email to administrativeassistant@pacificyearlymeeting.org

"*" indicates required fields

First things first … what brings you to this page today?*

I’m not in (or I don’t think I’m in) the Pacific Yearly Meeting General Directory and I would like to be

I would like to update my information

I would like to register a child / children in my care with Pacific Yearly Meeting

Please remove my name and information from the Pacific Yearly Meeting Directory

Your Name*

This is how you prefer people address you.

(This may be different from how you would like your name to appear in the Pacific Yearly Meeting Directory.)

First Name Last Name

Email for communications*

Enter here the email address we can use to contact you if we have any questions about the information you provide on this form.

What information would you like to update or change?*

Name

Affiliation (Monthly Meeting or Worship Group)

Contact Information

Name (as you would like to be listed in the Directory)

Complete this field if you prefer something different from the Last Name, First Name you entered above.

Preferred pronouns

This information will help us communicate with and about each other in a way that honors our truths.

they / them / theirs

she / her / hers

he / him / his

Other

Would you like to register a child / children?

Youth under 18 are not listed in the Pacific Yearly Meeting General Directory, but we’d like to know about the children and teens in our community.

Yes

Children

To add more children, click the ‘+’ at the end of the row.

First Name

Last Name

Preferred Pronouns

Date of Birth

Is there anything else you would like us to know about your child / children?

Would you like to be contacted about youth-related events?

Yes

Address

Provide ONLY the information you wish to appear in the General Directory.

Street Address Address Line 2 City State Zip / Postal Code Country (if not USA)

Phone

Provide a telephone number ONLY if you wish it to appear in the General Directory.

Email address for the Pacific Yearly Meeting General Directory

This is the email address you wish to appear in the General Directory (which may be different from the email address you provided above).

Enter Email Confirm Email

Select your Monthly Meeting or Worship Group*

If you do not consider yourself affiliated with a Monthly Meeting or Worship Group, select No Affiliation.

Monthly Meetings & Worship Groups in California*

Monthly Meetings & Worship Groups in Hawaii*

Monthly Meetings & Worship Groups in Nevada*

Las Vegas

Reno

No Affiliation

Other

Monthly Meetings & Worship Groups in Mexico*

We acknowledge there are other Monthly Meetings and/or Worship Groups in Mexico that may be affiliated with or members of other Yearly Meetings or Quaker organizations.

Junta Mensual de la Ciudad de México

Mérida

Oaxaca

San Miguel de Allende

No Affiliation

Other

Member or attender of the Monthly Meeting or Worship Group selected*

Member

Member who regularly participates with a different Monthly Meeting or Worship Group

Attender

Attender holding membership with a different Monthly Meeting

Which Monthly Meeting or Worship Group do you attend?

With which Monthly Meeting do you hold membership?

Connection with Pacific Yearly Meeting*

Select the option that best describes you.

My family is Quaker (and affiliated with a Monthly Meeting under Pacific Yearly Meeting)

I have participated in Pacific Yearly Meeting events and/or activities

I consider myself a Pacific Yearly Meeting Friend

Other

Which of these roles, if any, do you serve in your Monthly Meeting or Worship Group?

This information will not be published in the Directory

Clerk / Co-Clerk / Assistant Clerk

Convenor / Co-Convenor (in the case of Worship Groups)

Treasurer

Representative to Pacific Yearly Meeting

Communications / Newsletter Distribution Clerk

Directory Clerk

Ministry & Counsel, Pastoral Care or equivalent Clerk

Are you interested in connecting with Friends who hold similar ministry or interests?

This information will not be published in the Directory

Yes

Check the areas of interest to you

Describe

In which Directory (Directories) would you like to be listed*

Santa Monica Friends Meeting Directory & Pacific Yearly Meeting General Directory

Pacific Yearly Meeting Directory only

Santa Monica Friends Meeting Directory only

Other

Is there anything else you would like to share with the Yearly Meeting?

Storing your information*

I agree to my information being stored in the Pacific Yearly Meeting cloud-based (online) database

I agree to my information being stored in a spreadsheet that is not associated with the cloud or any database

Please delete my information after the Pacific Yearly Meeting General Directory has been published

This field is hidden when viewing the form

Storing your information*

I agree to my information being stored in the Pacific Yearly Meeting cloud-based (online) database

I agree to my information being stored in a spreadsheet that is not associated with the cloud or any database

Please delete my information after the Pacific Yearly Meeting General Directory has been published

The Pacific Yearly Meeting General Directory is published on a password-protected page on the Yearly Meeting website and is available to the Pacific Yearly Meeting community for personal use.*

College Park Quarterly Meeting (CPQM) and Southern California Quarterly Meeting (SCQM) directories are produced on request from the Quarterly Meetings and are built from the information Friends have given their permission for Pacific Yearly Meeting to publish.

I understand

I understand, but I have questions about this