Join The Luke - Family Membership Form

Family Membership Form

Welcome to The Luke! Please complete this form to join as an individual, couple, or family.
My Decision Today:*

Commit my life to ChristBecome a memberWatchcare
Where will you join us for worship*

The Luke Online CommunityThe Luke - Onsite
Prefix*
Name*

First NameLast Name
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
Gender:*
Marital Status*
Contact Number*

Area CodePhone Number
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your spouse joining*
Name (Spouse)
First and Last Name
Email Address (Spouse)
example@example.com
Date of Birth (Spouse)

MonthDayYear
Date
Gender (Spouse)
Contact Number (Spouse)

Area CodePhone Number
Wedding Anniversary

MonthDayYear
Date
Children (if under 18 years old)
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Date
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Date
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Date
Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Date
Family Member(s) at The Luke
If you or a member of your family would like to be a candidate for baptism, please sign up at on our website www.theluke.org.
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