Membership Application

This application should be filled out by the head of household or sole attender.

Your name *

Email address *

Do you have a nickname you would like us to use?

Phone number *

Today’s Date *

Address *

Are you a seasonal Resident of Vero Beach?

Would you like to receive the weekly email newsletter? *

Do you consent to receive relevant text communications from Trinity Episcopal Church and School? *

You may opt out at any time.

Which service do you most often attend?

Sunday 8:00am

Sunday 10:00am

Weekday 12:00pm

Birthdate *

Gender *

Marital status *

Membership

Please Select the option which describes you best: *

I have a spouse that would also like to become a member.

Checking this option will prompt us to send your spouse a membership application.

I have non-adult children that live in my household or whom I bring to church regularly.

Household members

Please add the basic information of your spouse and/or children living at home with you (or who you bring to church regularly).

Are you Baptized? *

Baptism from any Christian denomination, so long as it was done in the name of the Father, Son, and Holy Spirit is considered valid.

Are you Confirmed? *

In the event of an emergency, please provide two contacts for our records. In the event of an emergency, one or both of these contacts may be used.

Medical note

Please include any relevant information a first responder would need to know about you in the event of a medical emergency.

Primary Emergency Contact Name *

Primary Emergency Contact Phone Number(s) *

Primary Emergency Contact Address

Primary Emergency Contact Relationship *

Husband, mother, daughter, friend, etc.

Secondary Emergency Contact Name

Secondary Emergency Contact Phone Number(s)

Secondary Emergency Contact Address

Secondary Emergency Contact Relationship

Husband, mother, daughter, friend, etc.

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