Information Form
Welcome to the St. Andrew's community. We would love to get to know you better. Please share your contact and household details as you feel comfortable. We use the information to connect you with people and ministries that you might be interested in and to offer prayers on birthdays and anniversaries. Unless you specify otherwise, we will also add family names, home address, and phone numbers to our parish directory. This directory is available upon request by St. Andrew’s parishioners, but not widely distributed. No information will be published online or used for any other purposes outside the church. If you have more questions about formal membership, please contact Mother Brenda at (760)753-3017.
Name
First Name
Middle Name
Last Name
Birth Date
Please select a month
January
February
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Month
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Year
Household Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
E-mail
example@example.com
Preferred Phone Number
May we text this number?
Yes
No
Would you like us to know anything else about you? (Please feel free to share past religious affiliations, pronouns, spiritual needs, or anything else you think we should know about you-this information will be kept confidential)
Do you have a partner or spouse you would like to add?
Yes
No
Name
First Name
Middle Name
Last Name
E-mail
example@example.com
Preferred Phone Number
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
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1920
Year
Wedding Date if Applicable
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
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Day
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1932
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1930
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1923
1922
1921
1920
Year
Would you like us to know anything else about you? (Please feel free to share past religious affiliations, pronouns, spiritual needs, or anything else you think we should know about you-this information will be kept confidential)
Family Information
Do you have a children in your care you would like to add?
Yes
No
Child #1 Name
First Name
Middle Name
Last Name
Child # 1 Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
Please select a year
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1920
Year
Child #2 Name
First Name
Middle Name
Last Name
Child # 2 Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
Please select a year
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1920
Year
Child #3 Name
First Name
Middle Name
Last Name
Child # 3 Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
Please select a year
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2020
2019
2018
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2015
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1921
1920
Year
Child #4 Name
First Name
Middle Name
Last Name
Child # 4 Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
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31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
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2006
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1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Child #5 Name
First Name
Middle Name
Last Name
Child # 5 Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
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31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
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2002
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1999
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1932
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1923
1922
1921
1920
Year
Please send me the following (check all that apply):
A pledge card
Sunday School information
Youth information
Other
I am not currently receiving weekly e-blasts. Please sign me up for the following (check all that apply):
Whole church E-blast
Children and Families E-blast
Youth E-blast
May we add you to our parish directory? This directory is available upon request by St. Andrew’s parishioners, but not widely distributed.
Yes
No
Submit
Should be Empty: