Member Application Form

Prefix

First Name *

Middle Name *

Last Name *

Email Address

Phone *

Date of Birth *

Profession

Marital Status *SingleMarriedWidowWidower

Name of Spouse

Street Address *

Apartment, suite, etc *

City

Postal Code *

Which Service Do You AttendHoly Communion Service @ 7:00AMFirst English Service @ 8:00AMSecond English Service @ 10:00AM

Are you baptised?YesNo

Are You a CommunicantYesNo

Approximate Date You Joined ACK St. James Church Buruburu

Children's Names and Year of Birth (Under 18 years)

Upload Passport Photo

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Special Gifts/Talents

How would you wish to serve God at ACK ST James Buruburu?

Is there anyway that St. James Church can be of special help to you and your family?

Are you a registered member?NoYes

Membership Number

Are you or any of your household members disabled or homebound?NoYes

What topics would you like covered from the pulpit ministry?

Anything else you wish to comment on

About ACK St James Buruburu

ACK St James Buruburu is one of the 69 parishes in the Diocese of Nairobi. It has been in existence for 40 years and its impact felt across generations.