ST LUKE NEW MEMBERS FORM
Please fill out this form and click submit.
All information is confidential and only for church office use.
MEMBER INFORMATION
Member Name
*
Birthdate
*
Birthplace
*
Mailing Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
House Phone
*
Cell Phone
Email
*
This address will receive a confirmation email
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
Previous/Current Church (if applicable)
MEMBER NAME
Phone
Email
Birthdate
Birthplace
Baptism Date
Baptism Place
Confirmation Date
Confirmation Place
OTHER FAMILY MEMBERS JOINING WITH YOU
NAME
Relationship (child/grandchild/etc)
Birthdate
Birthplace
Confirmation Date
Confirmation Place
Baptism Date
Baptism Place
Please write a short paragraph or two which we may use in our Horizon newsletter or when we introduce you in church: 1) to tell about yourself and 2) in a sentence or two, about why you are joining St Luke Lutheran Church
*
Is there someone you already know at St Luke who might introduce you to the congregation on the upcoming New Members weekend?
*
Which service do you expect to attend that weekend?
*
Please select one option.
Saturday 5:00 PM
Sunday 8:15 AM
Sunday 10:30 AM
Submit
Description
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