Ascension Lutheran Church New Member Form
Are you interested in attending the new member class on Feb.25? *
Attendance is not required; however, this is a great opportunity to learn more about our church.
How many from your family should we expect?
Your answer
Contact Information and Church Record
Please fill-out the following information for your church record and our directory. We do not share any of this information beyond the church.
Full name (s) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone *
(If you don't have a home phone, please put "NA" and be sure to put your cell phone number below).
Your answer
Is your home number listed or unlisted? *
Cellphone (s)
Your answer
Is/are your cell number(s) listed or unlisted? *
Email address(es) *
Your answer
Is/are your email address(es) listed or unlisted? *
Occupation(s)
Your answer
Employer(s)
Your answer
Date(s) of birth *
00/00/0000
Your answer
Place(s) of birth *
Your answer
Date(s) of baptism *
If you haven't been baptized, please note.
Your answer
Place(s) of baptism *
Church, city, and state
Your answer
Date(s) of confirmation *
If you haven't been confirmed, please note
Your answer
Place of confirmation *
Church, city, and state
Your answer
Marital status *
If married, spouse's name *
Your answer
Date of marriage *
00/00/0000
Your answer
Spouse is also becoming a member *
Previous Church Affiliation
Church name/city/state
If you don't have a previous church, please note.
Your answer
Was it an ELCA church
Dates of attendance
00/0000 to 00/0000
Your answer
Children (who are becoming members)
The following questions are optional. If you do not have children, you do not need to put anything in the answer boxes.
Child #1
Full name *
If this question and the following do not apply to you, please put "NA."
Your answer
Date of birth
MM
/
DD
/
YYYY
Place of birth
Your answer
Date of baptism
If child hasn't been baptized, please leave blank.
MM
/
DD
/
YYYY
Place of baptism
Church, city, and state
Your answer
Date of confirmation
If child hasn't been confirmed, please leave blank.
MM
/
DD
/
YYYY
Place of confirmation
Church, city, and state
Your answer
Child #2
Full name
Your answer
Date of birth
MM
/
DD
/
YYYY
Place of birth
Your answer
Date of baptism
If child hasn't been baptized, please leave blank.
MM
/
DD
/
YYYY
Place of baptism
Church, city, and state
Your answer
Date of confirmation
If child hasn't been confirmed, please leave blank.
MM
/
DD
/
YYYY
Place of confirmation
Church, city, and state
Your answer
Child #3
Full name
Your answer
Date of birth
MM
/
DD
/
YYYY
Place of birth
Your answer
Date of baptism
If child hasn't been baptized, please leave blank.
MM
/
DD
/
YYYY
Place of baptism
Church, city, and state
Your answer
Date of confirmation
If child hasn't been confirmed, please leave blank.
MM
/
DD
/
YYYY
Place of confirmation
Church, city, and state
Your answer
Child #4
Full name
Your answer
Date of birth
MM
/
DD
/
YYYY
Place of birth
Your answer
Date of baptism
If child hasn't been baptized, please leave blank.
MM
/
DD
/
YYYY
Place of baptism
Church, city, and state
Your answer
Date of confirmation
If child hasn't been confirmed, please leave blank.
MM
/
DD
/
YYYY
Place of confirmation
Church, city, and state
Your answer
Children, married or single not listed above - not becoming a member *
Please note if not applicable.
Your answer
Church Communications
Would you like to subscribe to the emailed or mailed newsletter? *
We mail and email our newsletter monthly. We also have weekly e-alerts with church events and activities and other important information.
Required
New Member Information for Possible Publication in Bulletin/Newsletter
Hobbies/interests *
Your answer
Where are you from?
Your answer
Children (if any) and ages, and grandchildren (if you wish to share)
Your answer
Other details you might choose to share to help the congregation get to know you
i.e. moved recently, getting married, vacations, retired recently, won the lottery, etc.
Your answer
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