HOME
FAITH PRACTICES
CHURCH USAGE FEES
HISTORY
PUBLICATIONS
WORSHIP
DONATE
GET INVOLVED
CONTACT
IMMANUEL LUTHERAN CHURCH
Strum, Wisconsin
APPLICANT INFORMATION
*
Indicates required field
Applicant's Name
*
First
Last
Maiden Name, if applicable
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Birthdate
*
Date of Baptism
*
Date of Confirmation
*
Are you currently a member of another church?
*
Yes
No
If so, have you requested transfer or release of membership?
*
Yes
No
Would you like us to take care of transferring your membership for you?
*
Yes
No
Name of Church
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Would you like offering envelopes?
*
Yes
No
Would you like information about online giving?
*
Yes
No
Household Information
Spouse's or Partner's Name
*
First
Last
Please enter the first and last name of your spouse or life partner.
Maiden Name, if applicable
*
Email
*
Birthdate
*
Date of Baptism
*
Date of Confirmation
*
Date of Marriage
*
Child's Name
*
First
Last
Please enter your child's first and last name.
Birthdate
*
Gender identification
*
Male
Female
Other
If your child does not identify as male or female, or if you prefer not to disclose, please select other.
Date of Baptism
*
Date of Confirmation
*
Child's Name
*
First
Last
Please enter your child's first and last name
Birthdate
*
Gender Identification
*
Male
Female
Other
If your child does not identify as male or female, or if you prefer not to disclose this information, please select other.
Date of Baptism
*
Date of Confirmation
*
Child's Name
*
First
Last
Please enter your child's first and last name.
Birthdate
*
Gender Identification
*
Male
Female
Other
If your child does not identify as male or female, or if you do not wish to disclose this information, please check other.
Date of Baptism
*
Date of Confirmation
*
Child's Name
*
First
Last
Please enter your child's first and last name.
Birthdate
*
Gender Identification
*
Male
Female
Other
If your child does not identify as male or female, or if you do not wish to disclose this information, please check other.
Date of Baptism
*
Date of Confirmation
*
Child's Name
*
First
Last
Please enter your child's first and last name.
Birthdate
*
Gender Identification
*
Male
Female
Other
If your child does not identify as male or female, or if you do not wish to disclose this information, please select other.
Date of Baptism
*
Date of Confirmation
*
Child's Name
*
First
Last
Please enter your child's first and last name.
Birthdate
*
Gender Identification
*
Male
Female
Other
If your child does not identify as male or female, or if you do not wish to disclose this information, please check other.
Date of Baptism
*
Date of Confirmation
*
Additional Information
How would you like to receive the monthly church newsletter?
*
Mail
Email
Would you like information about opportunities to volunteer?
*
Yes
No
How did you learn about this congregation?
*
Internet Search
Invitation from family/friends
Website
Radio/Television
Billboard
Other
Submit
