New Member Class Registration

Which date will you be attending?
First/Middle/Last Name:
Address/City/Zip:
Email Address:
Phone Number (Home):
Phone Number (Cell):
Phone Number (Work):
What is the best way to reach you?
Marital Status:
Wedding Date:
Birthdate:
Baptism Date:
Confirmation Date:
Most Recent Church Name and City:
Occupation/Place of Employment:
SPOUSE INFORMATION
Spouse joining at this time?
 Yes
 No
First/Middle/Last Name of Spouse:
Address/City/Zip of Spouse;
Phone (Home) of Spouse:
Phone (Cell) of Spouse:
Phone (Work) of Spouse:
Email Address of Spouse:
What is the best way to reach your spouse?
Birthdate of Spouse:
Baptism Date of Spouse:
Confirmation Date of Spouse:
Occupation/Place of Employment of Spouse:
CHILDREN INFORMATION
Children joining at this time?
 Yes
 No
Child 1 First/Middle/Last Name:
Child 1 Living with you?
Child 1 Address (if different than yours):
Child 1 Phone (Cell):
Child 1 Birthdate:
Child 1 Baptism Date:
Child 1 Confirmation Date:
Child 1 Current Grade:
Child 2 First/Middle/Last Name:
Child 2 Living with you?
 Yes
 No
Child 2 City/State/Zip:
Child 2 Phone (Cell):
Child 2 Birthdate:
Child 2 Baptism Date:
Child 2 Confirmation Date:
Child 2 Current Grade:
Child 3 First/Middle/Last Name:
Child 3 Living with you?
 Yes
 No
Child 3 Address/State/Zip:
Child 3 Phone (Cell):
Child 3 Birthdate:
Child 3 Baptism Date:
Child 3 Confirmation Date:
Child 3 Current Grade:
Child 4 First/Middle/Last Name:
Child 4 Living with you?
 Yes
 No
Child 4 Address/City/State:
Child 4 Phone (Cell):
Child 4 Birthdate:
Child 4 Baptism Date:
Child 4 Confirmation Date:
Child 4 Current Grade:
How will you be brought into membership?
 By Adult Baptism (for those who have not been baptized or who were baptized in a non Christian religion or organization.
 By Adult Confirmation (for those who have not been a member of a Christian Church and have not been confirmed.
 By Profession of Faith (Meaning that you have been a member of a different Christian Church and wish to become a member of Mount Olive.
 By Transfer (for those who have previously been a member of a Missouri Synod Lutheran Church and are transferring from that church to Mount Olive.
 By Reception from another Lutheran Church (meaning that you have been a member of another Lutheran Church body (i.e. WELS, ELCA) and are now transferring your membership to Mount Olive.
Additional Information:


Submit

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