Membership Update Form

Contact information:
First & middle name:
Last name: Maiden name: Preferred name: Address: City, State, Zip:
Email address:
Telephone Cell phone:
Gender:	Female Male
Birth date (MM/DD/YYYY): Date of Baptism (MM/DD/YYYY): Church & city:
Date of Confirmation (MM/DD/YYYY): Church & city:
Marital status: Anniversary Date: Are you Episcopalian?	Single Married Partnership Widowed Divorced Yes No
Would you like to transfer your membership?	Yes No
Transfer church: City, state & zip:
Would you like to become an Episcopalian?	Yes No Already Episcopalian
Occupation? Job location: Work phone:
Any additional information you'd like to share:
Others in household (name and relationship):
Best way to contact you:	Email Snail Mail Telephone
Please check the groups which might interest you: Catechesis of the Good Shepherd Journey to Adulthood Adult Classes Lay Reader/Chalice Bearer Usher Acolyte EYC - Episcopal Youth Community Children's Chapel Adult Choir Children's Choir Youth Choir Adult Handbells Youth Handbells Stephen Ministry (Laycare Visitation) Contemplative Prayer Integrity (Fellowship for Gay Christians) RAIN (Regional Aids Ministry) Healing Ministry Check talents and interests that you might like to share with the Parish: Music (singing, musical instrument) Drama (acting, directing) Arts and crafts Yardwork (gardening, landscape, maintenance) Receptions (seasonal and special events) Transportation - Transporting parishoners, meals Cooking (meals, suppers, St. Martin's lunches) Office work (newsletter, mailings, phone) Journalism (writing, editing, layouts, proofing) Repairs (minor furniture, building repairs) Kitchen (cleaning, organizing, laundering) College (St. Martin's University Center) Elder care (special events, transportation, visits) Lenten programs (children or adult) Christmas Pageant (costumes, directing)