Parishioner Information Form

This form helps us to maintain accurate, up-to-date parishioner records at The Falls Church Anglican.  We do not give away or sell this information to any outside organizations or entities. Unless you otherwise request, we do make this information available only to other parishioners through our printed parish directory and our online, secured parish database.

Please complete one form (below) for each member of your household to update this information.  Click on "Continue" to submit your data.

Completion of this form is NOT a request for membership at The Falls Church Anglican.  To begin the membership process, please contact our Membership Records Administrator, Becca Sheffler, at 571-282-0113 or bsheffler@tfcanglican.org.

Today's date:
First Name:
Middle Name:
Last Name:
Maiden Name:
Preferred Name (nickname, goes by):
Gender:
Street Address/PO Box/Apt No:
City/Town:
State:
Zip:
Do you want your address unlisted?
  • listed
  • unlisted
Primary Phone:
Home/Landline Phone Number:
Do you want your home phone number unlisted?
  • listed
  • unlisted
Work Phone Number:
Do you want your work phone number unlisted?
  • listed
  • unlisted
Cell Phone Number:
Do you want your cell phone number unlisted?
  • listed
  • unlisted
Other Phone Number:
Do you want your other phone number unlisted?
  • listed
  • unlisted
***PRIMARY EMAIL ADDRESS***:
Do you want your primary email address unlisted?
  • listed
  • unlisted
Secondary email address:
Do you want your secondary email address unlisted?
  • listed
  • unlisted
Work email address:
Do you want your work email address unlisted?
  • listed
  • unlisted
Date of birth (MM/DD/YYYY):
Marital status:
Occupation:
Should we combine your contribution record with that of your spouse? (PLEASE NOTE: Combining contribution records will result in both past and future contributions being combined and the system does not allow for separation after they are combined.)
Please list all other members of THIS HOUSEHOLD by full name, DOB and relationship to you:
Please list family members who are NOT a part of your household but also attend The Falls Church by full name, DOB and relationship to you:
Please tell us any other information you would like us to have: