2026 Congregation & Delegate Information Form
Due March 1, 2026
Parish Information
Congregation
*
Congregation Name
City/Town
Address
*
Street Address
Street Address Line 2 or Mailing Address
City
State / Province
Postal / Zip Code
Church Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Church Email Address:
example@example.com
Church Website Address:
Clergy Information
Please fill in the requested information for all clergy associated with this congregation. If your congregation is currently without clergy, please enter NONE in the name & email sections.
Clergy Name(s)
*
Name/Title
Clergy Email Address
Name/Title
Clergy Email Address
Name/Title
Clergy Email Address
Staff/Vestry Information
Please fill in the requested information for a person fulfilling any of the roles listed below. If there is no one in your congregation currently in a specific role, leave that line blank.
Sr. Warden
All Wardens will be added to the Diocesan Email List for Weekly Newsletters and their name/email address will be included in updated directories. You may opt out by contacting the Diocese.
Sr. Warden Name:
*
First Name
Last Name
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Jr. Warden
Jr. Warden Name:
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Treasurer
Treasurer's Name:
*
First Name
Last Name
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parish Administrator/Office Manager
Admin Name:
First Name
Last Name
Vestry Clerk
Clerk's Name:
*
First Name
Last Name
Vestry Members
Please include the names of all current vestry members
Current Vestry Member's Names
*
Convention Delegates
Parishes and missions in the Diocese of Western New York are entitled up to three lay members to the Diocesan Convention, unless otherwise limited by canon, and three alternates.
Delegate Names and Email addresses:
*
Alternate Delegate Names and Email Addresses:
Certifications
I hereby certify that these individuals have been chosen as Lay Members/Delegates or Alternate Members/Alternates and are duly qualified as the Canons direct.
*
Yes
No
I hereby certify that Diocesan Policies regarding Safe Church training for all staff and required volunteers are being followed.
*
Yes
No
Name of the Person completing/certifying this form
*
First Name
Last Name
Email of the Person completing/certifying this form
*
example@example.com
Submit
Should be Empty: