Information and Transfer Form

 

PARISHIONER INFORMATION FORM AND/OR
REQUEST FOR TRANSFER TO EMMANUEL EPISCOPAL CHURCH

Date:

I am already a member of Emmanuel and am updating the information previously provided.

I have been a member of another parish/church and am requesting a transfer to Emmanuel.


Previous Parish City

State

Dates of Attendance


Full name and birth-date required for each family member requesting a transfer to Emmanuel. Baptismal and confirmation dates are helpful if you know them.

Full Name
(including maiden name of wife)		 Birth
Date/Place		 Baptism
Date/Place		 Confirmation
Date/Place



















Present Home Address:
Home Phone:
Employer: Family Member:
Present Business Address
Business Phone:
Fax Number:
Employer Family Member:
Present Business Address
Business Phone
Fax Number:
Other Family Members not listed above:


Please print page and fax to 281-493-3294.