St. James' Episcopal Church, Marietta Georgia
 
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HEAD OF HOUSEHOLD
(Required Fields marked with *)
*First Name:
  Middle :
* Last Name:
  Title (Mr/Mrs/etc) :
*Street Address :
Apt :
*City/State/Zip Code :
*Home Phone/Work /Cell : Ext:
Date of Birth (mm/dd/yyyy) : Sex :
Known As :
Marital Status : Anniversary (mm/dd/yyyy) :
Maiden Name (If married woman) :
*Email Address (Home) :
Email Address (Work) :
Baptized ? :

If so, What Church, Where & When :

Church :
Address :
When :
Confirmed ? :

If so, What Church, Where & When :

Church :
Address :
When :
Where is your present church membership? :
Do you wish your membership to be transferred to St. James' ? : What is your occupation ? :
What are your hobbies / interests ? :
Anything else we should know about your family ? :
SPOUSE
First Name:
  Middle :
Last Name:
  Title (Mr/Mrs/etc) :
WorkPhone/Cell : Ext:
Date of Birth (mm/dd/yyyy) : Sex :
Maiden Name (If married woman) :
Known As :
Email Address (Home) :
Baptized ? : If so, What Church, Where & When :
Church :
Address :
When :
Confirmed ? : If so, What Church, Where & When :
Church :
Address :
When :
Where is your present church membership? :
Do you wish your membership to be transferred to St. James' ? : What is your occupation ? :
What are your hobbies / interests ? :
OTHER FAMILY MEMBERS LIVING AT HOME - First Family Member
First Name:
  Middle :
Last Name:
  Sex :  
Date of Birth (mm/dd/yyyy) :
Known As :
Email Address (Home) :
Baptized ? : If so, What Church, Where & When :
Church :
Address :
When :
Confirmed ? : If so, What Church, Where & When :
Church :
Address :
When :
Where is his/her present church membership? :
Do you wish his/her membership to be transferred to St. James' ? :
Second Family Member
First Name:
  Middle :
Last Name:
  Sex :  
Date of Birth (mm/dd/yyyy) :
Known As :
Email Address (Home) :
Baptized ? : If so, What Church, Where & When :
Church :
Address :
When :
Confirmed ? : If so, What Church, Where & When :
Church :
Address :
When :
Where is his/her present church membership? :
Do you wish his/her membership to be transferred to St. James' ? :
Third Family Member
First Name:
  Middle :
Last Name:
  Sex :  
Date of Birth (mm/dd/yyyy) :
Known As :
Email Address (Home) :
Baptized ? : If so, What Church, Where & When :
Church :
Address :
When :
Confirmed ? : If so, What Church, Where & When :
Church :
Address :
When :
Where is his/her present church membership? :
Do you wish his/her membership to be transferred to St. James' ? :
Fourth Family Member
First Name:
  Middle :
Last Name:
  Sex :  
Date of Birth (mm/dd/yyyy) :
Known As :
Email Address (Home) :
Baptized ? : If so, What Church, Where & When :
Church :
Address :
When :
Confirmed ? : If so, What Church, Where & When :
Church :
Address :
When :
Where is his/her present church membership? :
Do you wish his/her membership to be transferred to St. James' ? :

St. James' News
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