St. Michael's Episcopal Church
This form allows easy entry for new members or updates to current members' information.
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Family Last Name *
Adult 1 First Name *
Adult 1 "Goes By" Name
Adult 1 Birthday
Only the month and day will ever be shared.
MM
/
DD
/
YYYY
Adult 1 Cell Phone *
Please include area code
Adult 1 Home Phone
Please include area code
Adult 1 Email *
Street Address Line 1
Street Address Line 2
City
State
Zip Code
Preferred Means of Contact
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Please indicate any information you DO NOT want shared in the directory:
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Occupation/Profession
If you are a member of another church and would like to transfer, please list the church's name and location
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