Membership Info Online Please fill out a separate form for all family members. All information is confidential and will never be shared with an outside entity. Name (First, Middle and Last) Maiden Name (optional)   Address Street Address Address Line 2 City State Postal / Zip Code Country Telephone - Home Publish ---YesNo Telephone - Cell (optional) Publish (optional) ---YesNo   Email (optional) Publish (optional) ---YesNo   Birthday (MM/DD/YYYY) Publish ---YesNo   Anniversary (optional)   Baptism Baptism Date MM/DD/YYYY (if Yes) ---YesYes - but date is unknownNo   Confirmation Confirmation Date MM/DD/YYYY (if Yes) ---YesYes - but date is unknownNo   Received/Transferred Received/Transferred Date MM/DD/YYYY (if Yes) ---YesYes - but date is unknownNo   Prior Church Membership (optional) Groups Involved With (optional)   Interests/Hobbies (optional) Professional Fields/Services (optional)   Spouse   Parent(s) (if a child)   Child(ren)   Yes! I would like to be included in the online directory! Yes! I would like to transfer my membership to St. Mark’s! Yes! I would like offering envelopes!