Your Name
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First Name
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Your Email
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Your Phone Number
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Area Code
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Is this a cell or home phone number?
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All Family Members Names (and ages)
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Any other phone numbers we should know?
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Address
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Street Address Line 2
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Preferred method of contact?
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Email
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Would you like to receive via email our weekly All Parish News, the Rector's weekly Reflection, and other periodic parish news updates?
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I am interested in: (Check all that apply)
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Information about becoming an Episcopalian
Information about St. Simon's Episcopal Church
Being contacted by our Rector (pastor)
Being contacted by a member of our Welcome Team
Signing up my child(ren) for Sunday Church School
Information on becoming a member of St. Simon's
Information on transferring from another church
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