Membership Information Form

St. Paul’s Episcopal Church

5373 Franz Road ● Katy, Texas 77493
Phone: (281) 391-2785 ● Email: stpaulskaty@gmail.com
www.stpaulskaty.org

To help us get to know you so we can better serve you, please complete every item and return it to our
parish office. Please fill out one form per family or household. Please print clearly so that we can ensure
your records are accurate in our database system. Thank you for taking the time to fill out this form!

HOUSEHOLD INFORMATION

Today’s Date:

Family Name:

Home Address:

Mailing Address (if different):

Home Phone:

ADULTS IN HOUSEHOLD

YOUR INFORMATION

Your Full Name: Nickname:

(Circle appropriate title) Mr. Dr. Mrs. Ms. Miss Other____ Birthday (M/D/Y):

Email: Work Phone: Cell:

Occupation: Sex: M__ F___

□ Baptized Date: Where?

Church (demonination) City/State

□ Confirmed Date: Where?

Church (denomination) City/State
What are your interests and hobbies?

YOUR SPOUSE/OTHER ADULT

Full Name: Nickname:

(Circle appropriate title) Mr. Dr. Mrs. Ms. Miss Other____ Birthday (M/D/Y):

Email: Work #: Cell #:

Occupation: Sex: M__ F___

□ Baptized Date: Where?

Church (demonination) City/State

□ Confirmed Date: Where?

Church (denomination) City/State

What are her/his interests and hobbies?

DEPENDENT CHILDREN IN HOUSEHOLD

Please enter your dependent children. Independent children and seniors, even if they live with you, should
complete and return their own forms.

FIRST CHILD

First Name: Nickname: Last (if different):

Birth Date (M/D/Y) Grade in School: School:

Email: Sex: M____ F____

□ Baptized Date: Where?

Church (demonination) City/State

□ Confirmed Date: Where?

Church (denomination) City/State
SECOND CHILD

First Name: Nickname: Last (if different):

Birth Date (M/D/Y) Grade in School: School:

Email: Sex: M____ F____

□ Baptized Date: Where?

Church (demonination) City/State

□ Confirmed Date: Where?

Church (denomination) City/State
THIRD CHILD

First Name: Nickname: Last (if different):

Birth Date (M/D/Y) Grade in School: School:

Email: Sex: M____ F____

□ Baptized Date: Where?

Church (demonination) City/State

□ Confirmed Date: Where?

Church (denomination) City/State
FOURTH CHILD

First Name: Nickname: Last (if different):

Birth Date (M/D/Y) Grade in School: School:

Email: Sex: M____ F____

□ Baptized Date: Where?

Church (demonination) City/State

□ Confirmed Date: Where?

Church (denomination) City/State
FIFTH CHILD

First Name: Nickname: Last (if different):

Birth Date (M/D/Y) Grade in School: School:

Email: Sex: M____ F____

□ Baptized Date: Where?

Church (demonination) City/State

□ Confirmed Date: Where?

Church (denomination) City/State
 SURVEY QUESTIONS

How did you find out about St. Paul’s?

What primarily helped you decide to join us?

Are there any areas of ministry you would be interested in volunteering in service to God?

Permission Statements

□ I/We agree to have our household contact information published in the parish directory.

□ I/We give your staff permission to initiate a Letter of Transfer from our former congregation to yours
so that we may become full members of St. Paul’s. (If applicable.)

□ Please give us a box of envelopes and an assigned giving number for our sacred giving to St. Paul’s.

I/We understand that the information provided in this membership form will only be used for church
business purposes with St. Paul’s Episcopal Church or the Episcopal Diocese of Texas.

Signature: Date:

Thank you for filling out this form! It will go a long way to help us better serve you
as part of our parish family.