St. Mary & St. Mercurius Church of Conshohocken Membership
This form is for a whole family including children up to 18 years old. Please take your time to fill the form accurately to your knowledge, starting by the husband if possible. Persons 18 and above, please fill a separate form.
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Given Name *
Family Name *
Gender *
E-mail 1 - Value *
Phone 1 - Value *
Birthday *
MM
/
DD
/
YYYY
Address 1 - Street *
Address 1 - City *
Address 1 - Region *
Address 1 - Postal Code *
Occupation *
Primary Church *
Secondary Church
If any.
Father of Confession *
Are You a Deacon?
If yes, please choose the rank from the following.
Clear selection
Are You a Sunday School Servant?
If yes, please choose the sector from the following.
Clear selection
Other Involvement in the Church
Choose all services that you CURRENTLY participate in
Which service(s) you would like to participate in?
Choose all services that you WOULD LIKE to participate in
Can You Play A Musical Instrument?
If yes, please list the instrument(s) that you can play (comma separated).
Special Needs (Per Family) *
Church wants to know if there is a member of the family with a chronic health issue, disabled, if there is a marital problem, or any issue that they want the priest to be involved. A YES answer will be followed by a phone call from Fr. Andrew for more clarification. All info will remain completely confidential.
Married? *
Notes
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This form was created inside of St Mary and St Mercurius Coptic Orthodox Church of Greater Philadelphia.