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Christ Church Membership Form
Welcome to Christ Episcopal Church in Tuscaloosa! We are glad you're here. 

Please take a moment to fill out our membership form. This form should take less than five minutes to complete.

If you have any questions or need additional information, please contact our Membership Coordinator, Diana Blount at dblount@christchurch1828.org and she will be happy to assist you!
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Name *
First, Middle, Last
Preferred Name
Gender
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Date of Birth
MM
/
DD
/
YYYY
Home Street Address *
City, State, Zip Code *
Primary Phone Number *
please indicate home, work, or cell
Other Phone Number
please indicate home, work, or cell
Primary Email *
Would you like to be added to our Church Communications List? *
Baptism Date *
MM
/
DD
/
YYYY
Are you a Confirmed member of the Episcopal Church? If so, please list your Confirmation date, if known. *
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