Member and New Member Update Form

(e.g., Smith)
Family Address *
Family Address
Family Phone *
Family Phone
Anniversary Date
Anniversary Date
The year is for office use only.
First Family Member
Name *
Name
(First Family Member)
Cell Phone *
Cell Phone
(First Family Member)
Birthday
Birthday
(First Family Member)
Second Family Member
Name
Name
(Second Family Member)
Cell Phone
Cell Phone
(Second Family Member)
Birthday
Birthday
(Second Family Member)
Third Family Member
Name
Name
(Third Family Member)
Cell Phone
Cell Phone
(Third Family Member)
Birthday
Birthday
(Third Family Member)
Fourth Family Member
Name
Name
(Fourth Family Member)
Cell Phone
Cell Phone
(Fourth Family Member)
Birthday
Birthday
(Fourth Family Member)
Fifth Family Member
Name
Name
(Fifth Family Member)
Cell Phone
Cell Phone
(Fifth Family Member)
Birthday
Birthday
(Fifth Family Member)
Permissions
Do you give St. Stephen's permission to publish your birth dates and anniversary in the monthly newsletter (without the year)? *
Do you give St. Stephen's permission to publish your picture and your family's picture online? *
Would you like to add this information to the church directory? *
Are your currently a member of St. Stephen's? *
If you answered no to the above question, would you like more information concerning how to become a member of St. Stephen's?