Membership Info Online

Please fill out a separate form for all family members. All information is confidential and will never be shared with an outside entity.

Name (First, Middle and Last) Maiden Name (optional)
Street Address
Address Line 2
City State
Postal / Zip Code Country
Telephone - Home Publish
Telephone - Cell (optional) Publish (optional)
Email (optional) Publish (optional)
Birthday (MM/DD/YYYY) Publish
Anniversary (optional)
Baptism Baptism Date MM/DD/YYYY (if Yes)
Confirmation Confirmation Date MM/DD/YYYY (if Yes)
Received/Transferred Received/Transferred Date MM/DD/YYYY (if Yes)
Prior Church Membership (optional) Groups Involved With (optional)
Interests/Hobbies (optional) Professional Fields/Services (optional)
Parent(s) (if a child)
Yes! I would like to be included in the online directory!
Yes! I would like to transfer my membership to St. Mark’s!
Yes! I would like offering envelopes!