JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Dormition Parish Membership Registration Form
Welcome! To formally register as a member of our parish, please complete this form.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Type of Membership:
*
Student ($25/year)
Single ($50/year)
Family ($100/year)
A Dormition Membership Coordinator will contact you with payment instructions once this registration form is processed.
Last Name:
*
Your answer
First Name:
*
Your answer
Mailing Address:
*
Your answer
City/Town:
*
Your answer
Province:
*
Your answer
Postal Code:
*
Your answer
Phone Number:
*
Your answer
Spouse's name (if applicable)
Your answer
Child/Children's Names (living at home)
(separate names with a comma)
Your answer
Next
Page 1 of 2
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
