New Member Form
We are delighted you have chosen St. Simon's as your new parish home! Help us know how to best support you by completing this form. If you are unsure about a question, leave the answer blank and feel free to contact us with any questions.
Title
Full Name (First, middle, last) *
Your answer
Suffix
Nickname / "goes by" name
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Email address
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Address
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City, State, Zip
Your answer
Cell phone number
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Alternative Number
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Month/Day/Year of Birth
If you would prefer not to give us this information, please just write "No, thank you"
Your answer
Month/Day/Year of Anniversary (if applicable)
If you would prefer not to give us this information, please just write "No, thank you"
Your answer
Are there other family members in your household?
If so, please share their names, relationship and birth dates below (please include children's ages/grades)
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I am interested in:
Please check all that apply
Please provide us with little bit of helpful background information.
Please check all that apply
I'd like to become more involved in or would appreciate help with:
Please check one or more
I would like to make a pledge of _______ per _______(week/month/year).
Please do not feel that you need to make this decision now. We provide this immediate opportunity solely for those who have already arrived at a decision to pledge.
Your answer
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