The Church of St. Michael & St. George - Membership Information Form

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Membership Information Form

Please complete all fields that apply and click the submit button when you are finished.

1st Adult Information

2nd Adult Information

First Name:
Middle Name:
Last Name:
Goes By Name:
Title:
Street Address:
City:
State: Zip Code:
Work Phone:
Home Phone:
Cell Phone:
Home E-mail:
Work E-mail:
Occupation:
Employer:
Date of Birth:
Date Babtized:
Baptism Church:
Denomination:
City:
State: Zip:
Date Confirmed:
Confirmed at:
Denomination:
City:
State: Zip Code:

Should we request a letter of transfer?

Yes

No

Children Living at Home:

1st Child

2nd Child

First Name:
Middle Name:
Last Name:
Goes By Name:
E-mail:
School Grade:
Date of Birth:
Date of Baptism:
Baptism Church:
Denomination:
City:
State: Zip:
Confirmation Date:
Confirmed at:
Denomination:
City:
State: Zip Code:

3rd Child

4th Child

First Name:
Middle Name:
Last Name:
Goes By Name:
E-mail:
School Grade:
Date of Birth:
Date of Baptism:
Baptism Church:
Denomination:
City:
State: Zip:
Confirmation Date:
Confirmed at:
Denomination:
City:
State: Zip Code: