Member Information Form

New member information.
  • Member Information Form

  • Contact Information - Primary Person

  • Date Format: MM slash DD slash YYYY
  • Primary Person Denomination & Sacramental Rite Information

  • Date Format: MM slash DD slash YYYY
  • Contact Information - Spouse/Partner

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Spouse/Partner Denomination & Sacramental Rite Information:

  • Date Format: MM slash DD slash YYYY
  • 1. I give permission for my photo and that of my entire family to be used in church newsletters, brochures, or. the website. 2. I give permission to add all adult email addresses to your Epistle (monthly newsletter) distribution list. 3. I give permission to add all adult email addresses to your weekly Eblasts (announcements) distribution list. 4. I also give permission for any representative of St. Philip’s Episcopal Church to obtain medical care or transportation for myself and that of my entire family in the event of a medical emergency to include doctor’s care, medical transportation and emergency room admittance.
  • Date Format: MM slash DD slash YYYY
  • Brief Description of Ministries/Committees/Teams

  • If yes, please continue filling in the form. If no, please click on the link below, which will take you to the end of the form, where you can click on the submit button.
  • Click to go to SUBMIT button to send us your form


  • Dependent Child (#1) Information

  • Date Format: MM slash DD slash YYYY
  • Dependent Child (#1) Denomination and Sacramental Rite Information:

  • Date Format: MM slash DD slash YYYY
  • Dependent Child (#2) Information

  • Date Format: MM slash DD slash YYYY
  • Dependent Child (#2) Denomination and Sacramental Rite Information:

  • Date Format: MM slash DD slash YYYY
  • Dependent Child (#3) Information

  • Date Format: MM slash DD slash YYYY
  • Dependent Child (#3) Denomination and Sacramental Rite Information:

  • Date Format: MM slash DD slash YYYY
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