Membership Profile

Today's date

Date Date Picker Icon

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 Date Picker Icon

Birthplace

Have you been baptized?

Yes No

Baptism date *

Date Date Picker Icon

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 Date Picker Icon

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 Date Picker Icon

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 Date Picker Icon

Birthplace

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

Have they been baptized?

Yes No

Baptism date

Date Date Picker Icon

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 Date Picker Icon

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 Date Picker Icon

Birthplace

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

Have they been baptized?

Yes No

Baptism date

Date Date Picker Icon

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 Date Picker Icon

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 Date Picker Icon

Birthplace

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

Have they been baptized?

Yes No

Baptism date

Date Date Picker Icon

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 Date Picker Icon

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 Date Picker Icon

Birthplace

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

Have they been baptized?

Yes No

Baptism date

Date Date Picker Icon

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 Date Picker Icon

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 Date Picker Icon

Birthplace

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

Have they been baptized?

Yes No

Baptism date

Date Date Picker Icon

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 Date Picker Icon

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 Date Picker Icon

Birthplace

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

Have they been baptized?

Yes No

Baptism date *

Date Date Picker Icon

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 Date Picker Icon

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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