Membership Application Form

Please use this secure, encrypted form to apply for membership at St. Anthony's Ukrainian Orthodox Church.

First Adult
Second Adult
Dependent Children
Would you like to receive correspendence and information from St. Anthony's in either digital (online) or printed formats?
Do you consent to allowing your name, address, phone number and email to be listed in the St. Anthony's Directory?
By becoming a member of St. Anthony's Ukrainian Orthodox Church, I / we pledge to follow the Orthodox teachings and fulfil all obligations as an Orthodox member of this parish.
For Office Use Only
When you have entered all the information, and checked it for correctness, then click on the SUBMIT button to send the form to St. Anthony's Church office. Use the RESET button to clear the form and start again.