Church Record Update Form

Our Redeemer Lutheran Church - Hutchinson, KS

Church Records Update

Please complete this form whenever you have updates to share with the church office. Please fill out one form PER PERSON.

Thank you!
Full Name*
Preferred Name
Street Address*

Street Address

Street Address Line 2

CityState

Zip
Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Home Phone - Listed

ListedUnlisted
Mobile Phone
Mobile Phone - Listed

ListedUnlisted
Would you like to receive texts from church?

YesNo
Work Phone
Work Phone - Listed

ListedUnlisted
Email
example@example.com
Email - Listed

ListedUnlisted
Occupation
Employer
Birthdate*

MonthDayYear
Date
Maiden Name
Marriage - Date

MonthDayYear
Date
Marriage-Place
Spouse Name
Spouse Date of Birth

MonthDayYear
Date
Deceased
Date

MonthDayYear
Date
Divorced
Date

MonthDayYear
Date
Special Interests or Hobbies
Child 1

First NameLast Name
Child 1 Birthdate

MonthDayYear
Date
Child 2

First NameLast Name
Child 2 Birthdate

MonthDayYear
Date
Child 3

First NameLast Name
Child 3 Birthdate

MonthDayYear
Date
Child 4

First NameLast Name
Child 4 Birthdate

MonthDayYear
Date
Please transfer my membership records:

TOFROMRelease Membership & send records to me
Address

Street Address

Street Address Line 2

CityState

Zip Code
How would you like to receive the ORL Newsletter?*

MailEmailPick-up from Church
Assign offering envelopes to me:

YesNo
Date Form Completed

MonthDayYear
Date
Should be Empty: