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Membership Information Form
If you are new to St. John's, you can fill out the membership form below so our Parish Office can add you to our rolls.
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* Indicates required question
Your Name
*
Your answer
Email Address
*
Your answer
Preferred Phone Number
*
Your answer
Is your preferred number...
*
Home
Work
Mobile
Required
Secondary Phone Number
Your answer
Is your secondary number...
Home
Work
Mobile
Home Address
*
Your answer
Do you need a letter of transfer?
*
I am on the rolls of another Episcopal parish, please process a Letter of Transfer for me.
I do not believe I am on the rolls of another Episcopal parish.
Required
If you are on the rolls of another Episcopal parish, please give the parish name, city, and state. Because sometimes parishes don't give us full information, please still fill out the rest of the form below.
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Date and Location of Your Baptism (estimate is fine)
*
Your answer
Marital Status
*
Single
Married
Partnered
Prefer not to say
Required
Date of Marriage, if applicable
MM
/
DD
/
YYYY
Other Members of Your Household (Please include their birthdates and baptism information)
Your answer
Is there anything else the Parish Office can do for you?
*
Please add me to the Weekly E-Newsletter List.
Please add me to the Monthly Parish Page Newsletter mailing.
Please send me information on how I can make a pledge.
Please contact me to schedule an appointment for me to meet the Rector.
Other:
Required
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