Membership Application - Debre Haile Saint Rufael Ethiopian Orthodox Church

Membership Registration

1. Head of household

The primary member the parish will contact.

First name

Last name

Christian / baptismal name

Date of birth

Gender

Marital status

2. Contact & address

How the church reaches you.

Mobile phone

Street address

City

State

ZIP code

Preferred language for church communication

አማርኛ (Amharic)

English

Both

3. Spouse & children

Everyone in the household who should be on the register. Skip anything that does not apply.

Are you registering a spouse as well?

Spouse first name

Spouse last name

Spouse Christian name

Spouse phone

How many children are you registering?

Child 1

Child 1 first name

Child 1 last name

Child 1 Christian name

Child 1 date of birth

Child 1 Sunday School

Enrol in Sunday School (Roots of Faith, ages 2–10)

Child 2

Child 2 first name

Child 2 last name

Child 2 Christian name

Child 2 date of birth

Child 2 Sunday School

Enrol in Sunday School (Roots of Faith, ages 2–10)

Child 3

Child 3 first name

Child 3 last name

Child 3 Christian name

Child 3 date of birth

Child 3 Sunday School

Enrol in Sunday School (Roots of Faith, ages 2–10)

Child 4

Child 4 first name

Child 4 last name

Child 4 Christian name

Child 4 date of birth

Child 4 Sunday School

Enrol in Sunday School (Roots of Faith, ages 2–10)

4. Spiritual life

Helps the clergy know how best to serve your household. All optional.

Father confessor (የንስሐ አባት)

Previous parish

Anything the clergy should know

5. Membership pledge

Monthly support that sustains the parish. This form records your pledge — no payment is taken here.

Monthly pledge

$__ / month — Household membership

Student or senior

I would like to speak with someone about giving

One-time annual payment

Prefer a different monthly amount? Enter it here (USD)

Preferred way to pay

Online, recurring

Check

In person

Zelle

A pledge is a statement of intent, not a contract — you can change or pause it at any time by contacting the church office. Debre Haile Saint Rufael EOTC is a registered 501(c)(3); contributions are tax-deductible.

Confirmation

I confirm this information is accurate and agree the church may contact me about parish matters.