Data Information Form
Your Information: *
Required
Last Name:
*
First Name:
*
Sex:
Male
Female
E-Mail:
Marital Status:
Single
Married
Partnered
Widowed
Other
Dates: (XX/XX/XXXX)
Birth: Baptism:
(estimate if unknown)
Confirmation: (estimate if unknown)
Address 1:
City:
State:
---- In USA ----
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
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
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
--- OTHER ---
Zip/Postal Code:
-
Phone # (Home)
( )
(please do not
publish)
Phone # (Mobile)
( )
(please do not
publish)
Occupation / Vocation
Membership Status:
Membership in the Episcopal Church is a voluntary commitment to meet a
set of standards. Church law defines a
Member as a person who has given
their baptism information to the parish staff and asks to have it
recorded in the church records. An Unbaptized Member
is just that, a
person who enjoys our ministry and worship, but has not been baptized.
The next step is “Communicant,”
a Member who receives Holy Communion at
least three times a year. A “Communicant in Good Standing” is a
communicant who is faithful to worshipping, praying, giving and working
for the spread of God’s Kingdom. St. James also has a category of
“Friend of St. James,” a person who may not want to join this
congregation but wants to be informed of our events, take part in
worship and activities, and be asked for donations.
Our household would like the
church to consider me/us to be a:
Member
Unbaptized Member
Communicant
Communicant in Good Standing
Friend of St. James
I would like to be
taken off the Active Membership Roster
I do
do not
want to receive
The Chimes Newsletter
Spouse / Partner:
Last Name
First Name
Email
Sex:
Male
Female
Birthdate
Baptism Date
(estimate if unknown)
Confirmation Date
(estimate if unknown)
Occupation/Vocation
Date of Marriage
Children:
Last Name
First Name
Email
Sex:
Male
Female
Birthdate
Baptism Date
(estimate if unknown)
Confirmation Date
(estimate if unknown)
Last Name
First Name
Email
Sex:
Male
Female
Birthdate
Baptism Date
(estimate if unknown)
Confirmation Date
(estimate if unknown)
Last Name
First Name
Email
Sex:
Male
Female
Birthdate
Baptism Date
(estimate if unknown)
Confirmation Date
(estimate if unknown)
Last Name
First Name
Email
Sex:
Male
Female
Birthdate
Baptism Date
(estimate if unknown)
Confirmation Date
(estimate if unknown)
Do you have a recent photo of yourself and your family (if applicable)
for our database? If so, please email it to:
media@sjbts.org . Thanks!
Please click on the SUBMIT button below ONCE to send your information to our office. When you
click the submit button, a pop-up window MAY appear thanking you for your time. Navigate off
this page and your data will disappear. Thank-you!