SJC Membership

SJC New Members - please complete separate form for each member of household

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

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