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Membership Form

Membership Form

Welcome to St. Anne's Parish

Please fill out the information below to request active membership. We look forward to you joining our church family. If you have more than 2 adults and/or more than 3 chidlren in your household, you will need to complete 2 forms.

Mail to
Street Address
City
State
Zip
Household Phone Number
Household Email Address
Adult Member 1: First Name
Middle Name
Last Name
Nick Name
Title
Date of Birth
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Relationship
Baptism Date
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Place of Baptism (Church/City/State)
Baptism Denomination
Confirmation Date
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Place of Confirmation (Church/City/State)
Confirmation Denomination
Cell Phone Number
Work Phone Number
Email Address
Adult Member 2: First Name
Middle Name
Last Name
Nick Name
Title
Date of Birth
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Relationship
Baptism Date
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Place of Baptism (Church/City/State)
Baptism Denomination
Confirmation Date
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Place of Confirmation (Church/City/State)
Confirmation Denomination
Work Phone Number
Cell Phone Number
Email Address
Child 1: First Name
Middle Name
Last Name
Nick Name
Date of Birth
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Baptism Date
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Place of Baptism (Church/City/State)
Baptism Denomination
Confirmation Date
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Place of Confirmation (Church/City/State)
Confirmation Denomination
Child 2: First Name
Middle Name
Last Name
Nick Name
Date of Birth
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Baptism Date
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Place of Baptism (Church/City/State)
Baptism Denomination
Confirmation Date
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Place of Confirmation (Church/City/State)
Confirmation Denomination
Child 3: First Name
Middle Name
Last Name
Nick Name
Date of Birth
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Baptism Date
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Place of Baptism (Church/City/State)
Baptism Denomination
Confirmation Date
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Place of Confirmation (Church/City/State)
Confirmation Denomination
If your previous membership was in an Episcopal parish, please provide us with the name, town and state:
I would like more information on:
Comments:
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