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
Are you receiving our weekly newsletter (eNews)?

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

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This helps us know who you are! Cancelof
Employer:*
Occupation:*
Would you like to be listed in our Christ Lincoln Professional Directory?

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.
Baptized?*

YesNo
Date:

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

YesNo
Date:

MonthDayYear
Confirmation Date (to the best of your knowledge)
Church / City / State:
Previous Church/LCMS (Lutheran Church Missouri Synod) Background?*

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
My Spouse would like to receive the eNews

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
Baptized?*

YesNo
Date:

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

YesNo
Date:

MonthDayYear
Confirmation Date (to the best of your knowledge)
Church / City / State:
My Spouse's Previous Church/LCMS (Lutheran Church Missouri Synod) Background?

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:
Would your Spouse like to be listed in our Christ Lincoln Professional Directory?

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.
Do you have children at home?*

YesNoBaby on the way
Would you like information about Baptism?

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
Another child(ren) to add?

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
Has any of your immediate family attended a Lutheran school?

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