New Member Form

Please help us to get to know you!

Your name *

Email address *

Middle Name

Nickname

Phone number *

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Address *

Birthdate *

Gender *

Household members

Please help us get to know your family!

Your Personal Information

Date Baptized

Year Baptized

Which church were you baptized at?

Date Confirmed in the Lutheran Church

Year Confirmed in the Lutheran Church

What Lutheran church were you confirmed at?

Marital status

Anniversary date

Where were you married? (If at a church, provide the name)

Maiden Name

Occupation

Interests and Skills

Father's Name

Mother's Name

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