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)

     

    Address

    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)

     

    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!