Membership Application Our Saviour's Lutheran Church

Our Saviour's Lutheran Church

New Member Form
Welcome to Our Saviour's and thank you for your interest in membership at Our Saviour's. Why fill out this form? This information will be entered into our database and will allow us to send you updated information and communication about ministry and ministry opportunities at Our Saviour's.

Please DO NOT use all caps.

Contact Information
Full Name *

First Name Middle Name Last Name Suffix
Goes by--if different from first name

Mailing (Primary) Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Physical Address, if different

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Preferred Phone *

Area Code Phone Number
Cellphone

Area Code Phone Number
E-mail *
Preferred contact email

Spouse Information (if applicable)
Spouse Name *

First Name Middle Name Last Name
spouse goes by--if different from first name
spouse's E-mail *
spouse's Cellphone

Area Code Phone Number
spouse's Birth Date *

Month Day Year
Ethnic Origin (Optional for Synod records)
Spouse's Occupation
Spouse's Church Background
Has spouse been baptized?

Yes No Would like to be
Has spouse been confirmed?

Yes No
Does Spouse have/had membership at another church?

No Yes
If yes, what church?
Address of previous church? Please list (this is for transfer paperwork)

Child 1 Information
Please only list children under 18, physically residing with you, and attending Our Saviour's.
c1 Full Name

First Name Middle Name Last Name
c1 Gender

Male Female
c1 Birth Date

Month Day Year
c1 E-mail
c1 Cellphone

Area Code Phone Number
c1 Grade in School
c1 Baptism Date

- Month - Day Year Date Picker Icon

Child 2 Information
Please only list children under 18, physically residing with you, and attending Our Saviour's.
child2 Full Name

First Name Middle Name Last Name
c2 Gender

Male Female
c2 Birth Date

Month Day Year
c2 Grade in School
c2 E-mail
c2 Cellphone

Area Code Phone Number
c2 Baptism Date

- Month - Day Year Date Picker Icon

Child 3 Information
Please only list children under 18, physically residing with you, and attending Our Saviour's.
child3 Full Name

First Name Middle Name Last Name
c3 Gender

Male Female
c3 Birth Date

Month Day Year
c3 Grade in School
c3 E-mail
c3 Cellphone

Area Code Phone Number
c3 Baptism Date

- Month - Day Year Date Picker Icon

Child 4 Information
Please only list children under 18, physically residing with you, and attending Our Saviour's.
child4 Full Name

First Name Middle Name Last Name
c4 Gender

Male Female
c4 Birth Date

Month Day Year
c4 Grade in School
c4 E-mail
c4 Cellphone

Area Code Phone Number
c4 Baptism Date

- Month - Day Year Date Picker Icon

Child 5 Information
Please only list children under 18, physically residing with you, and attending Our Saviour's.
child5 Full Name

First Name Middle Name Last Name
c5 Gender

Male Female
c5 Birth Date

Month Day Year
c4 Grade in School
c5 E-mail
c5 Cellphone

Area Code Phone Number
c5 Baptism Date

- Month - Day Year Date Picker Icon

Please send information on ministry opportunities (mark all that apply)

Mission and Service Music and Worship Hospitality and Welcoming Adult Ministries Children/Youth Ministries
Would you like to receive our weekly emails?

Yes No

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