JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
St. Mary's Member Contact information
Please fill out to the best of your knowledge and include all family members!
* Indicates required question
Email
*
Your email
Name (First, Middle, Last) for each family member
*
Your answer
Email
*
Your answer
Address (include city and zip please!)
*
Your answer
Cell and Home phone numbers
*
Your answer
Would you like to receive the weekly email update?
*
Yes
No
Birth Date(s)
*
MM
/
DD
/
YYYY
Baptism Date(s)
MM
/
DD
/
YYYY
Confirmation Date(s)
MM
/
DD
/
YYYY
Were you confirmed in the Episcopal Church?
Yes
No
If "no", would you like information on being received/confirmed into the Episcopal Church?
Other:
Clear selection
If you are married, when is your anniversary?
MM
/
DD
/
YYYY
Employer/Occupation/Profession
Your answer
What St. Mary's groups are you currently involved in or would be interested in joining?
Your answer
What contacts and connections do you have in our local community?
Your answer
Comments
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
