Christ Lincoln Personal Data Sheet

Christ Lincoln PERSONAL DATA SHEET
Please fill out and submit, if you have questions feel free to reach out to nburk@christlincoln.org
Full Name:*
Preferred/Nickname:
Maiden Name:
Address:*
City/State/Zip Code:*
Email:
example@example.com
Yes, I am already receiving the weekly email!No, please sign me up!
Home Phone:
Cell Phone:
Birth Date:*

MonthDayYear
Date
Submit a photo of your family for the Church database

Browse Files
This helps us know who you are! Cancelof
Employer:*
Occupation:*
Yes, please add me to the Professional DirectoryNo, thank you
Please Share Profession Field & Phone/Email/Website
Reach out to nburk@christlincoln.org directly with questions.
YesNo
Date:

MonthDayYear
Baptism Date (to the best of your knowledge)
Church / City / State:
YesNo
Date:

MonthDayYear
Confirmation Date (to the best of your knowledge)
Church / City / State:
No, my previous background was another denominationNo, I don't have a home churchYes, I have already contacted my previous LCMS church to transfer my membershipYes, but I need to contact my previous LCMS church to transfer my membership
Marital Status:
Wedding Date:

MonthDayYear
Date
Church / City / State:
Where were you married?
SPOUSE INFORMATION

Please enter their information or fill it out together.
Full Name:
Preferred/Nickname:
Maiden Name:
Email:
example@example.com
Please add my spouse's email to the weekly newsletterMy spouse is already receiving the newsletterMy spouse doesn't want to receive the newsletter
Cell Phone:
Spouse's Birth Date:*

MonthDayYear
Date
YesNo
Date:

MonthDayYear
Baptism Date (to the best of your knowledge)
Church / City / State:
YesNo
Date:

MonthDayYear
Confirmation Date (to the best of your knowledge)
Church / City / State:
No, my spouse's previous background was another denominationNo, my spouse, doesn't have a home churchYes, my spouse has already contacted his/her previous LCMS church to transfer membershipYes, but my spouse needs to contact his/her previous LCMS church to transfer membership
Employer:
Occupation:
Yes, please add my spouse to the Professional DirectoryNo, thank you
Please Share Profession Field & Phone/Email/Website
Reach out to nburk@christlincoln.org directly with questions.
CHILDREN INFORMATION

Please enter information if applicable.
YesNoBaby on the way
Yes, please contact me!No, already baptized!No, already scheduled!
Child 1
Name:
Child's Name
Birth Date:

MonthDayYear
Date
Baptism Date:

MonthDayYear
Date (if applicable) Month & Year if possible
Confirmation Date:

MonthDayYear
Date (if applicable) Month & Year if possible
Grade in School:
Child's current grade
Name of School:
Child's School Name
Child 2 (if applicable)
Name:
Child's Name
Birth Date:

MonthDayYear
Date
Baptism Date:

MonthDayYear
Date (if applicable) Month & Year if possible
Confirmation Date:

MonthDayYear
Date (if applicable) Month & Year if possible
Grade in School:
Child's current grade
Name of School:
Child's School Name
Child 3 (if applicable)
Name:
Child's Name
Birth Date:

MonthDayYear
Date
Baptism Date:

MonthDayYear
Date (if applicable) Month & Year if possible
Confirmation Date:

MonthDayYear
Date (if applicable) Month & Year if possible
Grade in School:
Child's current grade
Name of School:
Child's School Name
YesNo
Child 4
Name:
Child's Name
Birth Date:

MonthDayYear
Date
Baptism Date:

MonthDayYear
Date (if applicable) Month & Year if possible
Confirmation Date:

MonthDayYear
Date (if applicable) Month & Year if possible
Grade in School:
Child's current grade
Name of School:
Child's School Name
Child 5 (if applicable)
Name:
Child's Name
Birth Date:

MonthDayYear
Date
Baptism Date:

MonthDayYear
Date (if applicable) Month & Year if possible
Confirmation Date:

MonthDayYear
Date (if applicable) Month & Year if possible
Grade in School:
Child's current grade
Name of School:
Child's School Name
Child 6 (if applicable)
Name:
Child's Name
Birth Date:

MonthDayYear
Date
Baptism Date:

MonthDayYear
Date (if applicable) Month & Year if possible
Confirmation Date:

MonthDayYear
Date (if applicable) Month & Year if possible
Grade in School:
Child's current grade
Name of School:
Child's School Name
LUTHERAN SCHOOL AFFILIATION
YesNo
If any of your immediate family was privileged to attend a Lutheran school, please provide the information requested below:
Person(s):
Name of School(s):
Grade Levels Attended:
Degrees earned (if applicable):
Are they a Called Church Worker?
Does anyone in your family own a Thrivent Financial Product?
If yes, please list names of owners:
Should be Empty:

Christ Lincoln PERSONAL DATA SHEET

SPOUSE INFORMATION

CHILDREN INFORMATION

Child 1

Child 2 (if applicable)

Child 3 (if applicable)

Child 4

Child 5 (if applicable)

Child 6 (if applicable)

LUTHERAN SCHOOL AFFILIATION