New Member Registration Form
Please fill out everything to the best of your ability
Member Details
Head of Household Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
Secondary Phone Number
E-mail
*
example@example.com
Secondary E-mail
example@example.com
Birthday
*
-
Month
-
Day
Year
Date
Married?
*
Single
Married
Divorced
Widow/Widower
Anniversary
-
Month
-
Day
Year
Date
Baptized?
*
Please Select
Yes
No
Baptism Date
-
Month
-
Day
Year
Date
Confirmed?
*
Please Select
Yes
No
Confirmation Date
-
Month
-
Day
Year
Date
Confirmation Verse
Verse Reference
Household Members
Most Recent Home Church
Congregation Name, City, State
What would you like to be a part of at Lamb of God?
*
Are you requesting a transfer of Membership from another LCMS Congregation?
*
Please Select
Yes
No
Name of LCMS Congregation to access Membership information
Full Name of Congregation, City, State
As a family we enjoy activities such as...?
*
Our last family vacation was when/where?
*
If you knew that you would not fail, what would you do for God? (Answer for each member of the family)
*
Submit
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