Membership Profile

Today's date

Date

Full name *

Prefix First Name Middle Name Last Name

Preferred name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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 *

Date

Birthplace

Have you been baptized?

Yes No

Baptism date *

Date

Church where baptized

Church name
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have you been confirmed in the Lutheran church?

Yes No

Confirmation date *

Date

Church where confirmed

Church name
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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	Country

Are you married?

Yes No

Spouse's name

Prefix First Name Middle Name Last Name

Wedding date

Date

Church where married (if applicable)

Church name
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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	Country

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.)

Child's name

First Name Middle Name Last Name

Joining with you?

Yes No

Birth date

Date

Birthplace

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have they been baptized?

Yes No

Baptism date

Date

Church where baptized

Church
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have they been confirmed in the Lutheran church?

Yes No

Confirmation date

Date

Church where confirmed

Church
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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

Date

Birthplace

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have they been baptized?

Yes No

Baptism date

Date

Church where baptized

Church
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have they been confirmed in the Lutheran church?

Yes No

Confirmation date

Date

Church where confirmed

Church
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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

Date

Birthplace

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have they been baptized?

Yes No

Baptism date

Date

Church where baptized

Church
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have they been confirmed in the Lutheran church?

Yes No

Confirmation date

Date

Church where confirmed

Church
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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

Date

Birthplace

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have they been baptized?

Yes No

Baptism date

Date

Church where baptized

Church
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have they been confirmed in the Lutheran church?

Yes No

Confirmation date

Date

Church where confirmed

Church
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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

Date

Birthplace

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have they been baptized?

Yes No

Baptism date

Date

Church where baptized

Church
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have they been confirmed in the Lutheran church?

Yes No

Confirmation date

Date

Church where confirmed

Church
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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

Date

Birthplace

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have they been baptized?

Yes No

Baptism date *

Date

Church where baptized

Church
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have they been confirmed in the Lutheran church?

Yes No

Confirmation date

Date

Church where confirmed

Church
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Cell phone

- Area Code Phone Number

Email

example@example.com

Mountain View Lutheran Church Membership Profile

Membership Information

Spouse's Information

Getting to Know You

Children Addendum

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