Church Information Form
St. John's is putting together a church directory for print and secure online distribution. The purpose of this form is to publish your name and contact information to help build community among St. John's parishioners. It is also to update our internal database for contacting you, for listing in Intentions, and so on.

By completing this form, you consent to have your name and contact information published in the Church Directory. If you have any questions, please contact Melanie in the parish office, at parishoffice@saintjohns-newport.org. Thank you!
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Email *
St. John's
Member's Full Name:
Alternate Name (nickname, etc.):
Is your alternate name preferred, or do you go by your formal name?
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Spouse/Partner's Full Name:
Spouse/Partner's Alternate Name:
For spouse/partner, is alternate name preferred, or do they go by their formal name?
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Is your spouse/partner also a member?
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How do you prefer that household mailings be addressed? Please write below how you would like your name(s) to appear on mail addressed to you. Thank you!
Mailing Address:
Physical Address:
Home Phone Number:
Cell Phone:
Preferred email for church-related communications
Your Birthday:
Spouse/Partner's Birthday:
Wedding Anniversary:
Children's Names and Birthdays (including year; children up to 18 will be celebrated in Intentions)
Grandchildren's Names and Birthdays you would like celebrated in Intentions:
If we acquire any photographs from church events with you or your family members, do we have your permission to publish them in printed materials and online?
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By submitting this form, I consent to have my name and my spouse/partner's name, and contact information, included in the St. John's Church Directory *
Yes! Please include my photo(s) in the directory
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Comments:
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