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Trinity Episcopal Church Charlottesville, Virginia

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Welcome
About Us
Worship
Ministries
Bread & Roses
Give
- Give Today
- Pledge Your Support

Membership Form

Submit this information when you are ready to become official!

Name(Required)

First Last

Name you go by(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Birth date(Required)

MM slash DD slash YYYY

Marital status(Required)

Single

Married

Partnered

Widowed

Separated

Are you baptized?(Required)

Yes

No

Unsure

Baptism date (optional)

MM slash DD slash YYYY

Are you confirmed?(Required)

Yes

No

Confirmation date (optional)

MM slash DD slash YYYY

Are you transferring from another Episcopal congregation?(Required)

Yes

No

Name and location of your previous congregation(Required)

Do you want to add another adult in your family to membership at Trinity?(Required)

Yes

No

Additional adult member(Required)

Full name

Phone

Email

Birth date

Baptism date (or N/A)

Confirmation date (or N/A)

Do you want to add children to membership?(Required)

Yes

No

Children(Required)

Full name(s)

Birth date(s)

Grade in school

Baptism date(s) (or N/A)

Confirmation date(s) (or N/A)

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Name
This field is for validation purposes and should be left unchanged.

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Trinity Episcopal Church • 1118 Preston Avenue • Charlottesville, Virginia 22903 • 434.293.3157 • [email protected]