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St. Ambrose Membership Database
Help us better connect with you as a member or friend of St. Ambrose by completing the following database questionnaire. Your personal information will remain confidential.

One form per adult. One adult form can include minor children living at home.
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Email *
 1. Name (Title/First Name/Middle/Last Name/Suffix)
 2. Preferred Name 
3. Gender *
4. Preferred Telephone Contact *
5. Telephone Number *
 6. Address (Street, city, state, and zip)  *
7. Birthdate *
MM
/
DD
/
YYYY
8. Baptized? *
 9. If yes, please give church, city, state, and date of baptism if known
10. Confirmed? *
 11. If yes, please give church, city, state, and date of confirmation if known
12. Marital Status: *
13. Wedding anniversary date, if married
MM
/
DD
/
YYYY
14. Would you like to be included in a church directory? *
15. Will you receive your quarterly contribution statement by email? *
16. Mailing Address - If different from above
17. Ministries/Groups you are active/interested in
18. Are you including minors? If yes, please include the following: name, preferred name, gender, birthday, and baptism and/or confirmation if applicable. 
19. List other family members at St. Ambrose (name & relationship):  *
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