St. Luke's Membership Form
Thank you for your interest in joining St. Luke's Episcopal Church! The completion of this form is the first step towards joining the church. Please fill out the information as accurately as possible. We will be in touch very soon after your form is submitted.   If you have any questions, please call the church office at (225) 926-5343 or email us at stlukesbrchurch@gmail.com.
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SECTION 1:  PERSONAL INFORMATION
Full Name *
Date of birth *
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Street address *
City *
State *
Zip code *
Phone *
Is the above number a... *
Alternate Phone
Is the above number a...
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Email *
Marital Status *
Family Position *
SECTION 2:  CHURCH RECORD INFORMATION
Have you been baptized? *
If yes, please provide the date of your baptism, along with the name, denomination, and city/state location of the church.
Have you been confirmed in an Episcopal church? *
If yes, please provide the date of your confirmation, along with the name and city/state location of the church.
If transferring membership from a previous church, please provide that church's name, denomination, and city/state location.  
SECTION 3:  SPOUSE/PARTNER INFORMATION
Is your spouse/partner joining St. Luke's, too? *
Spouse's full name
Spouse's date of birth
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DD
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Spouse's phone number
Spouse's email
Spouse's baptism information (date, denomination, church name and location)
Spouse's confirmation information (date, denomination, church name and location)
SECTION 4:  CHILDREN LIVING IN SAME HOUSEHOLD
1) First child's full name
First child's date of birth
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DD
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First child's baptism information (date, denomination, church name and location)
First child's confirmation information (date, denomination, church name and location)
2) Second child's full name
Second child's date of birth
MM
/
DD
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YYYY
Second child's baptism information (date, denomination, church name and location)
Second child's confirmation information (date, denomination, church name and location)
3) Third child's full name
Third child's date of birth
MM
/
DD
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YYYY
Third child's baptism information (date, denomination, church name and location)
Third child's confirmation information (date, denomination, church name and location)
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