Saint Timothy's
Episcopal Church
Indianapolis, IN  USA


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Vestry Notes


Diocese


Please complete and mail to:   ST. TIMOTHY'S EPISCOPAL CHURCH   Date:_____________
St. Timothy's Episcopal Church                 MEMBERSHIP FORM      
2601 E Thompson Rd                  
Indianapolis IN 46227                  
                     
OR, email this form to:  sttimothy.indy@gmail.com            
                     
Name__________________________________________________________________________________
  Last               Middle                            First       Email  
                     
Name(spouse)___________________________________________________________________________
          Last               Middle                            First       Email  
                     
Address_________________________________________________________________________________
            City       Zip
                     
Telephone (home)__________________ (Spouse Work)____________________  
  (Work)___________________ (Spouse Cell)_____________________  
  (cell)_____________________            
                     
 
            Married        Anniversary Date_____________
        Widow
 
      Single  
                     
Birthdate____/____/______       Spouse Birth Date___/____/______
                     
Baptized:            Yes
 
     No   Approximate Date_________________Church__________________
Confirmed:           Yes      No   Approximate Date_________________Church__________________
                     
Spouse:                    
Baptized:            Yes
 
     No   Approximate Date_________________Church__________________
Confirmed:        Yes         
 
     No   Approximate Date_________________Church__________________
                     
If not Confirmed, would you like to be?
 
    Yes     No      Spouse:
 
    Yes     No 
If you are not a Confirmed Episcopalian, what is your religious affiliation?___________________________
            Spouse________________________________
If you are a Confirmed Episcopalian, would you like to transfer from your former parish into 
           St. Timothy's? Name of former parish__________________________________________________
    Address______________________________________________________________
    Approximate dates you attended this parish_______________________________
                     
Children(living at home or at college)            
Name       Birth Date         Date of Baptism   Confirmation
_____________________________ __/__/___
     M        F
           __/__/_____     __/__/_____
____________________________ __/__/___      M        F           __/__/_____     __/__/_____
____________________________ __/__/___
     M        F
          __/__/_____     __/__/_____
____________________________ __/__/___      M        F           __/__/_____     __/__/_____