EmailMe Form - St. James Membership Update Form

Submission Date *

MM / DD / YYYY

Name *

First Last

Gender *

Male

Female

Birthdate *

MM / DD / YYYY

Date Joined St. James *

MM / DD / YYYY

How did you join St. James? *

Baptism

Statement

Watchcare

Letter

Date Baptized (Optional)

MM / DD / YYYY

Email

Cell#

### - ### - ####

Home#

### - ### - ####

Work#

### - ### - ####

Address *

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

Emergency Contact Name *

First Last

Emergency Contact Phone# *

### - ### - ####

Profession

i.e., Attorney, Carpenter, Realtor, etc.