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St. Andrew's Membership
Please submit one form per person in a family.
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* Indicates required question
Email
*
Your email
First, Middle, & Last Name
*
Your answer
Preferred Name (if different from above)
Your answer
Title (Dr., Rev., Ms., etc.)
*
Your answer
Suffix (Sr., Jr., etc.)
Your answer
Date of Birth
*
Your answer
Gender
*
Your answer
Address
*
Your answer
City, State, ZIP Code
*
Your answer
Phone Number
*
Your answer
Cell or Landline?
*
Cell
Landline
May we publish your phone number and email address in our directory?
*
Yes
No
Preferred Method of Contact
*
Phone Call
Text
Email
Required
Family Position
*
Head
Spouse
Child
Other
Marital Status
*
Single
Committed
Married
Widowed
Separated
Divorced
Other Family Members and Relationship to You
Your answer
For Child: What Grade in School or What High School Graduation Year?
Your answer
Employer/Profession
Your answer
Emergency Contact:
Person/Relationship/Phone Number
*
Your answer
Share your former denomination if you had one.
Your answer
If you are coming from another Episcopal Church, please let us know the
name
and
location
so we can transfer your membership.
Your answer
Baptism Date (Exact date not necessary. Nearest year that you recall.)
Your answer
Confirmation (Exact date not necessary. Nearest year that you recall.)
Your answer
How did you hear about St. Andrew's?
*
Website
Instagram
Facebook
Friend
Family
Outdoor Signage
Email
Word of Mouth
Mailed postcard
HJ's Youth and Community Center
Other
Required
Anything else you would like to share with us?
Your answer
A copy of your responses will be emailed to the address you provided.
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