Faith Lutheran Membership Form
Form is set for two Members and Additional Family members at the bottom.
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Name
Address
Phone
-Home
-Cell
Email Address
Date of Birth
MM
/
DD
/
YYYY
Baptized (Y/N)
Confirmed (Y/N)
Name (Additional)
Address
Phone
-Home
-Cell
Email Address
Date of Birth
MM
/
DD
/
YYYY
Baptized (Y/N)

Confirmed (Y/N)


Additional Household Members (under the age of 18)
Address
Phone (optional)
-Home
-Cell

Email Address (optional)
Date of Birth
MM
/
DD
/
YYYY
Baptized (Y/N)

Confirmed (Y/N)

Submit
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