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Membership - form

WELCOME TO ST THOMAS'S CHURCH.  We are glad that you have decided to become a member of our parish.  Please fill in the form below and submit it.  We look forward to making contact with you and being in touch.
 

Title:

First Name 1:

First Name 2:

Surname:

Date of Birth (YYYY/MM/DD):

Street Address 1:

Street Address 2:

Suburb:

City:

Postal Code:

Postal Address 1:

Postal Address 2:

Postal Code:

Telephone (Home):

Telephone (Work):

Mobile/Cell Number:

Email address:

Baptised?:

Confirmed?:

Marital Status:

Interests and Pastimes 1:

Interests and Pastimes 2:

Number of dependent children:

Courses in which you might be interested:
Use "Ctrl" + Click to select more than one.

Service areas in which you might be interested:
Use "Ctrl" + Click to select more than one.

 

Groups in which you might be interested:
Use "Ctrl" + Click to select more than one.

Ministry you may wish for:
Use "Ctrl" + Click to select more than one.

SPOUSE (If not a member):

Title:

First Name 1:

First Name 2:

Surname:

Date of Birth (YYYY/MM/DD):

Telephone (Home):

Telephone (Work):

Mobile/Cell Number:

Email address:

Baptised?:

Confirmed?:

Interests and Pastimes 1:

Interests and Pastimes 2:

CHILDREN (If not members):

FIRST CHILD:

First Name 1:

First Name 2:

Surname:

Date of Birth (YYYY/MM/DD):

Telephone (Home):

Telephone (Work):

Mobile/Cell Number:

Email address:

Baptised?:

Confirmed?:

Interests and Pastimes 1:

Interests and Pastimes 2:

SECOND CHILD:

First Name 1:

First Name 2:

Surname:

Date of Birth (YYYY/MM/DD):

Telephone (Home):

Telephone (Work):

Mobile/Cell Number:

Email address:

Baptised?:

Confirmed?:

Interests and Pastimes 1:

Interests and Pastimes 2:

THIRD CHILD:

First Name 1:

First Name 2:

Surname:

Date of Birth (YYYY/MM/DD):

Telephone (Home):

Telephone (Work):

Mobile/Cell Number:

Email address:

Baptised?:

Confirmed?:

Interests and Pastimes 1:

Interests and Pastimes 2:

FOURTH CHILD:

First Name 1:

First Name 2:

Surname:

Date of Birth (YYYY/MM/DD):

Telephone (Home):

Telephone (Work):

Mobile/Cell Number:

Email address:

Baptised?:

Confirmed?:

Interests and Pastimes 1:

Interests and Pastimes 2: