Name *

First Name

Last Name

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Birthdate *

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DD

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Current Address *

Address 1

Address 2

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All who have been baptized in the Christian faith may become members of Emmanuel. Check the appropriate box below:

I am not baptized. (In order to become a member of Emmanuel, one has to be baptized. If you are interested in completing your membership process through baptism here at Emmanuel , please follow the directions that will appear upon clicking this box).

I am baptized. (If you are already baptized, whether within the Episcopal denomination or not, please fill out the following questions in order to complete the Membership process)..