St. Stephen's Episcopal Church Membership Form

Membership Form for Adults
Full Name*

First NameMiddle NameLast Name
Preferred First Name
Gender*
Preferred Pronouns
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
Place of Birth (City and State)*
Marital Status*
Name of Spouse
Date of Marriage

MonthDayYear
Date
Place of Marriage (City and State)
Christian Formation and Church History
I am Baptized*

YesNo
Baptism Date

MonthDayYear
Date
Name, denomination, and location of the church (city and state, or country) where you were baptized
I am Confirmed*

YesNo
Confirmation Date

MonthDayYear
Date
Name, denomination, and location of the church (city and state, or country) where you were confirmed
If Confirmed in a denomination other than the Episcopal Church, have you been Received into the Episcopal Church or other church in the Anglican Communion?

YesNo
Reception - Name and location of church (city and state, or country)
Reception Date

MonthDayYear
Date
I am a member of another parish in the Episcopal Church and wish to transfer my membership

Yes
Name and location of the parish (city and state) from which you'd like to transfer
Pledging Support for St. Stephen's

Episcopalians pledge because giving is a form of prayer. We do not pledge to keep the lights on, though the lights must stay on; we pledge because everything we have has been given to us first — our breath, our days, the people we love, the bread on the altar — and the natural response to such generosity is to give something back. Pledging is also how we say, out loud and on paper, that we belong to one another. The Church is not a vendor of religious services; it is the Body of Christ, gathered in this place, doing the slow work of worship, formation, and mercy. To make a pledge is to take responsibility for a household, to say: this community matters to me, and I will help carry it.
Would you join us in pledging your support for St. Stephen's?*

I am already a pledging member of St. Stephen's.Please contact me with more information about pledging.I am not interested in pledging at this time.
Communication Preferences and Attestation
Would you like to receive our weekly e-newsletter via email?*
Signature*
Date*

MonthDayYear
Date
Should be Empty:

Membership Form for Adults

Christian Formation and Church History

Pledging Support for St. Stephen's

Communication Preferences and Attestation