Simply print out this form, fill out and then turn into Donna.

MEMBER INFORMATION St. Andrew’s Episcopal Church


___________________________________________
First, Last Name
Address: Street:__________________________________________________

Mailing_______________________________

City, State, _________________________
Zip______________

Phone(s):Home___________________Work____________________

FAX:
_________________
    Cell:________________________

Email:

_______________________________ ___________________________________

_______________________________ ___________________________________

Please list all members of your family unit, beginning with adults. List only those children still living at home, beginning with the oldest. (Other young adults should complete a separate form.) Check or complete all applicable boxes. Space has been provided for two adults, 2 children, use extra pages if necessary. Please list all resource information that might be helpful to your church:

(This information will be used for church records only.)

                                              Dates:  Baptized?      Confirmed?       Birthday       Anniversary

NAME: _____________________________________________________________________

Occupation and Professional training and experience:

 

 

 

 

Interests, hobbies, skills and talents (don’t be modest!) including musical instruments, arts, crafts & trades. (sewing? plumbing? electrical? gardening? carpentry? Etc.)

 

 

 

 

Lay ministries, current or anticipated

 

 


Helpful business contacts or other organizations:
 
 
 
 
 
                                                     DATES: Baptized?     Confirmed?     Birthday    Anniversary

NAME: __________________________________________________________________

Occupation and Professional training and experience:

 

 

 

 

Interests, hobbies, skills and talents (don’t be modest!) including musical instruments, arts, crafts & trades. (sewing? plumbing? electrical? gardening? carpentry? Etc.)

 

 

Lay ministries, current or anticipated:

 

 

Helpful business contacts or other organizations:

 



Children: Please list oldest first.

 
                                                                DATES: Baptized? Confirmed? Birthday Anniversary

NAME: _________________________________________________________________________

NAME: _________________________________________________________________________

NAME
: _________________________________________________________________________


NAME: _________________________________________________________________________

 Please complete and return this form to the parish office or mail to the Church:

Thank you!