FAMILY STATISTICAL DATA

Your Email Address: (Required to Submit Form)

First Name: Middle Name:
Last Name: Marital Status:
Home Phone: Work Phone:
Address: City: State Zip:

Preferred email: Alternate email: Cell phone:

Occupation: Industry Job:
Birth Date: Baptized: (if known) Date:
Church:
City: State: Married: Date:

Parents names:
Present/last church membership:
Mailing address:
I will write or call requesting that a letter of transfer be mailed to Triumphant Love Lutheran Church.
I would like Triumphant Love Lutheran Church to write or call requesting that a letter of transfer be mailed.
I have never been a member of a Christian congregation.

PLEASE LIST INFORMATION FOR YOUR CHILDREN (if both spouses are joining the church, only one need complete this part.)

First Name:
Middle Name:
Last Name:

Birth Date: Baptized Date: Church:

Receives Holy Communion: Yes No
Confirmed: Yes No Church:
Grade in school: School:

First Name:
Middle Name:
Last Name:

Birth Date: Baptized Date: Church:

Receives Holy Communion: Yes No
Confirmed: Yes No Church:
Grade in school: School:

First Name:
Middle Name:
Last Name:

Birth Date: Baptized Date: Church:

Receives Holy Communion: Yes No
Confirmed: Yes No Church:
Grade in school: School:

First Name:
Middle Name:
Last Name:

Birth Date: Baptized Date: Church:

Receives Holy Communion: Yes No
Confirmed: Yes No Church:
Grade in school: School:

Please list any other children and statistics by using text area (this will expand as you type):