Membership Form: St. Paul's Episcopal Church 
Please fill out the following information to join St. Paul's Episcopal Church in Richmond, Virginia. Each adult should fill out ONE form. Only one adult needs to fill out information on behalf of children, if applicable. 

If you have any questions, please contact the Rev'd Keli at kshipleycooper@stpaulsrva.org 

**Updated October 2023** 
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Email *
First Name
Last Name
Preferred Name
Pronouns
Residential Address (Street Address, City, State, Zip Code)
Mailing Address (Street Address, City, State, Zip Code) **If different than residential address 
Preferred Phone Number
Would you like to be added to the St. Paul's email list for weekly updates (E-Grace Notes)? 
Clear selection
Date of Birth (MM/DD/YYYY)
What is your marital status? 
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If currently married, what is the date of your anniversary? 
Have you been baptized? 
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If you answered yes, what is the date of your baptism?  (MM/DD/YYYY) What is your church of baptism?
Have you been Confirmed or Received?
Clear selection
If you answered "No" or "Unsure," are you interested in Confirmation?
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If you answered "Yes," what is your date of confirmation? What is your church of confirmation? 
Prior to St. Paul's, were you a member of another church?
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If you answered yes, what is the name of your most recent church? If you would like us to request a letter of transfer, please provide the mailing address of your most recent church.
Do you have children who would like to become members, as well? 
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Is there anything else that is helpful for us to know? 
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