The Parish of Saint Matthew: The Episcopal Church of Pacific Palisades

New Member Form

Mailing Address  
City  
State  
Zip Code  
If married, date of wedding  
How did you hear about us?  
 

For the Adults in Your Household

       
Salutation    
Full Name Email
Home Phone Work Phone
Cell Phone    
Profession    
Date of Birth Place of Birth
Date of Baptism Baptism City/State
Name of Church Denomination
Date of Confirmation Confirmation City/State
Name of Church Denomination
       

       
Salutation    
Full Name Email
Home Phone Work Phone
Cell Phone    
Profession    
Date of Birth Place of Birth
Date of Baptism Baptism City/State
Name of Church Denomination
Date of Confirmation Confirmation City/State
Name of Church Denomination
 

About Baptism and Confirmation:
In order to become a member of St. Matthew's, the Episcopal Church requires that a person have been baptized. We welcome persons who have been baptized in any Christian denomination to become members. If you have any questions, or if you haven't been baptized, please contact Missy Morain and we'll be happy to help.

Confirmation is not required for membership, but if you've been confirmed, please let us know by completing those fields.

If you don't know the exact dates of baptism or confirmation, the year is sufficient.

 

For the Children in Your Household (Under 18 years of age)

 
Child's Full Name Child's Sex
Date of Birth Place of Birth
Date of Baptism Baptism City/State
Name of Church Denomination
Date of Confirmation Confirmation City/State
Name of Church Denomination
       

       
Child's Full Name Child's Sex
Date of Birth Place of Birth
Date of Baptism Baptism City/State
Name of Church Denomination
Date of Confirmation Confirmation City/State
Name of Church Denomination
       

       
Child's Full Name Child's Sex
Date of Birth Place of Birth
Date of Baptism Baptism City/State
Name of Church Denomination
Date of Confirmation Confirmation City/State
Name of Church Denomination
       

       
Child's Full Name Child's Sex
Date of Birth Place of Birth
Date of Baptism Baptism City/State
Name of Church Denomination
Date of Confirmation Confirmation City/State
Name of Church Denomination
       


 

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