Zion Lutheran Church

New Member Information

Name

First Name

Last Name

Birth Date

YYYY

Wedding Anniversary (if married)

YYYY

Spouse's Name

First Name

Last Name

Spouse's Birth Date

YYYY

Children's Names and Birth Dates

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Spouse's Email

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Spouse's Cell Phone

(###)

###

####

At what church were you previously a member?

Name of church, city and state/country

Who was your pastor?

Are you baptized?

Yes

Where were you baptized?

Church/Other name, city, state/country

Who baptized you?

Baptism Date

YYYY

Is your spouse baptized?

Yes

Where was your spouse baptized?

Church/other name, city, state/country

Who baptized your spouse?

Spouse's Baptism Date

YYYY

Please list your children's names and baptism dates:

Are you confirmed?

Yes

Confirmation Date

Approximate is ok!

YYYY

Where were you confirmed?

Church name, city, state/country

Who was your pastor?

Is your spouse confirmed?

Yes

Confirmation Date

Approximate is ok!

YYYY

Where was your spouse confirmed?

Church name, city, state/country

Who was their pastor?

Please list your children's confirmation and/or first communion dates.

What is your current occupation?

What is your spouse's current occupation?

Do you have any other information you wish to share?

You can do that here:

Thank you for completing your Membership Information form!