Mountain View Lutheran Church Membership Profile
To be completed by each family member age 18 and over
Today's date
-
Month
-
Day
Year
Date
Membership Information
Full name
*
Prefix
First Name
Middle Name
Last Name
Preferred name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell phone
-
Area Code
Phone Number
Home phone
-
Area Code
Phone Number
Work phone
-
Area Code
Phone Number
May we contact you at work?
Yes
No
Personal Email
example@example.com
Household Email
example@example.com
Occupation
Employer
Birth date
*
-
Month
-
Day
Year
Date
Birthplace
Have you been baptized?
Yes
No
Baptism date
*
-
Month
-
Day
Year
Date
Church where baptized
Church name
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you been confirmed in the Lutheran church?
Yes
No
Confirmation date
*
-
Month
-
Day
Year
Date
Church where confirmed
Church name
Street Address Line 2
City
State / Province
Postal / Zip Code
Confirmation verse
Are you transferring from another church?
Yes
No
Previous church membership
Church address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Spouse's Information
Are you married?
Yes
No
Spouse's name
Prefix
First Name
Middle Name
Last Name
Wedding date
-
Month
-
Day
Year
Date
Church where married (if applicable)
Church name
Street Address Line 2
City
State / Province
Postal / Zip Code
Maiden name
Is your spouse joining with you?
Yes
No
Are they a member at another church?
Yes
No
Spouse's church membership
Church name
Street Address Line 2
City
State / Province
Postal / Zip Code
Getting to Know You
How did you hear about us?
Do you know anyone at Mountain View?
Hobbies
Previous church activities
Time/talents/abilities
What kinds of activities are you interested in participating in here?
Have you had any advanced church education from a previous membership?
(Stephen's, etc.)
Children Addendum
List children who reside at home (children over 18 need to fill out a seperate membership profile)
Child's name
First Name
Middle Name
Last Name
Joining with you?
Yes
No
Birth date
-
Month
-
Day
Year
Date
Birthplace
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have they been baptized?
Yes
No
Baptism date
-
Month
-
Day
Year
Date
Church where baptized
Church
Street Address Line 2
City
State / Province
Postal / Zip Code
Have they been confirmed in the Lutheran church?
Yes
No
Confirmation date
-
Month
-
Day
Year
Date
Church where confirmed
Church
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell phone
-
Area Code
Phone Number
Email
example@example.com
Child's name
First Name
Middle Name
Last Name
Joining with you?
Yes
No
Birth date
-
Month
-
Day
Year
Date
Birthplace
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have they been baptized?
Yes
No
Baptism date
-
Month
-
Day
Year
Date
Church where baptized
Church
Street Address Line 2
City
State / Province
Postal / Zip Code
Have they been confirmed in the Lutheran church?
Yes
No
Confirmation date
-
Month
-
Day
Year
Date
Church where confirmed
Church
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell phone
-
Area Code
Phone Number
Email
example@example.com
Child's name
First Name
Middle Name
Last Name
Joining with you?
Yes
No
Birth date
-
Month
-
Day
Year
Date
Birthplace
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have they been baptized?
Yes
No
Baptism date
-
Month
-
Day
Year
Date
Church where baptized
Church
Street Address Line 2
City
State / Province
Postal / Zip Code
Have they been confirmed in the Lutheran church?
Yes
No
Confirmation date
-
Month
-
Day
Year
Date
Church where confirmed
Church
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell phone
-
Area Code
Phone Number
Email
example@example.com
Child's name
First Name
Middle Name
Last Name
Joining with you?
Yes
No
Birth date
-
Month
-
Day
Year
Date
Birthplace
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have they been baptized?
Yes
No
Baptism date
-
Month
-
Day
Year
Date
Church where baptized
Church
Street Address Line 2
City
State / Province
Postal / Zip Code
Have they been confirmed in the Lutheran church?
Yes
No
Confirmation date
-
Month
-
Day
Year
Date
Church where confirmed
Church
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell phone
-
Area Code
Phone Number
Email
example@example.com
Child's name
First Name
Middle Name
Last Name
Joining with you?
Yes
No
Birth date
-
Month
-
Day
Year
Date
Birthplace
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have they been baptized?
Yes
No
Baptism date
-
Month
-
Day
Year
Date
Church where baptized
Church
Street Address Line 2
City
State / Province
Postal / Zip Code
Have they been confirmed in the Lutheran church?
Yes
No
Confirmation date
-
Month
-
Day
Year
Date
Church where confirmed
Church
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell phone
-
Area Code
Phone Number
Email
example@example.com
Child's name
First Name
Middle Name
Last Name
Joining with you?
Yes
No
Birth date
-
Month
-
Day
Year
Date
Birthplace
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have they been baptized?
Yes
No
Baptism date
*
-
Month
-
Day
Year
Date
Church where baptized
Church
Street Address Line 2
City
State / Province
Postal / Zip Code
Have they been confirmed in the Lutheran church?
Yes
No
Confirmation date
-
Month
-
Day
Year
Date
Church where confirmed
Church
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell phone
-
Area Code
Phone Number
Email
example@example.com
Heading
Submit
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