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.

Your-Name (First, Middle and Last) Maiden Name (optional)
Street Address
Address Line 2
City State
Postal / Zip Code Country
Telephone - Home Publish
Telephone - Cell (optional) Publish (optional)
Email (optional) Publish (optional)
Birthday (MM/DD/YYYY) Publish
Anniversary (optional)
Baptism Baptism Date MM/DD/YYYY (if Yes)
Confirmation Confirmation Date MM/DD/YYYY (if Yes)
Received/Transferred Received/Transferred Date MM/DD/YYYY (if Yes)
Prior Church Membership (optional) Groups Involved With (optional)
Interests/Hobbies (optional) Professional Fields/Services (optional)
Parent(s) (if a child)
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!