SJC Membership SJC New Members - please complete separate form for each member of household If you are human, leave this field blank. Last Name, First Name Street address, City, State and Zip (this only needs to be done once per household unless different): Phone (please indicate cell, home and/or work with preferred number listed first): Email Address Please include my birthday/anniversary in the Sunday Prayers of the People & newsletters: Yes No Religious Affiliation Date of Birth Date of Baptism (or YES if date unknown) or NO Date of Confirmation (or YES if date unknown) or NO Date of Marriage (or other information, divorced, widowed, etc) I understand St. John Chrysostom Episcopal Church will only use my information in the parish and to keep me informed regarding church events and activities. I agree