St. Michael's Cathedral New Member Information Form

St. Michael's Cathedral
New Member Information Form
Individual Names and Information:
Today's Date _________
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Title Full Name Date of Birth
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Street Address City State Zip Home Phone
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Marital Status Gender Business Email address Work Phone
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Baptism: Date Church Episcopal Confirmation: Date Church
Spouse:
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Title Full Name Date of Birth
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Anniversary Date Gender Business Work Phone
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Baptism: Date Church Episcopal Confirmation: Date Church
Other family members living at the same address:
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Full Name Gender Date of Birth Relation (Mother, Son, etc.) Grade
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Baptism: Date Location Episcopal Confirmation: Date Location Work Phone
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Full Name Gender Date of Birth Relation (Mother, Son, etc.) Grade
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Baptism: Date Location Episcopal Confirmation: Date Location Work Phone
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Full Name Gender Date of Birth Relation (Mother, Son, etc.) Grade
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Baptism: Date Location Episcopal Confirmation: Date Location Work Phone
OVER

If children are in college, please give address(es)
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Full Name
Address
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Full Name
Address
Prior Church Membership
If you were members of a different church, please indicate the name, address and denomination. This will
allow us to contact them and have your membership transferred. If you would prefer that we did not contact
your previous church, please let us know.
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Name of Church Address Denomination
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Dates attended church Your name when you attended this church (if different than above)
Comments/Other Information
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