Information Form - Grace Episcopal Church of Oak Park
Are you new to Grace? Are you a current member who has recently moved, changed a phone or email address, or noticed that we don't have your birthdate or anniversary in the prayers on Sunday? Please submit this form so that we may add you to our database, or update your information.

Consistent with our promise to uphold your dignity, we do not share personal information outside the parish without your permission.

Which Sunday service do you most regularly attend?
Adult 1 First Name *
Your answer
Adult 1 Last Name *
Your answer
Date of Birth
We would like to recognize your birthday in Sunday prayers; in addition, birthdates help us produce accurate reports.
MM
/
DD
/
YYYY
Email Address *
If none, please state so.
Your answer
Would you like to be added to our weekly e-newsletter mailing list? You may unsubcribe at any time.
Partner / Spouse First Name
Your answer
Partner / Spouse Last Name
Your answer
Partner / Spouse Date of Birth
MM
/
DD
/
YYYY
Partner / Spouse Email Address
Your answer
Would you like to be added to our weekly e-newsletter mailing list? You may unsubcribe at any time.
Anniversary
MM
/
DD
/
YYYY
Street Address *
Please include any apartment or unit number
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Main Household Phone Number *
Your answer
1st Child / Youth First Name
Your answer
1st Child / Youth Last Name
Your answer
1st Child / Youth Date of Birth
MM
/
DD
/
YYYY
2nd Child / Youth First Name
Your answer
2nd Child / Youth Last Name
Your answer
2nd Child / Youth Date of Birth
MM
/
DD
/
YYYY
3rd Child / Youth First Name
Your answer
3rd Child / Youth Last Name
Your answer
3rd Child / Youth Date of Birth
MM
/
DD
/
YYYY
4th Child / Youth First Name
Your answer
4th Child / Youth Last Name
Your answer
4th Child / Youth Date of Birth
MM
/
DD
/
YYYY
Which activities at Grace might you be interested in learning more about?
Your answer
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