Membership Registration Form

Welcome to Trinity Lutheran Church in Waupaca, Wis. We look forward to worshiping and serving our Lord and Savior Jesus Christ with you and all who attend Trinity.

Please fill out this form and click Submit.

Name

Maiden name if applicable

Mailing Address

This address will receive a confirmation email

Home Phone

Cell Phone

Date of Birth

Gender

Have you been baptized?

Please select one option.

Yes No

Date of baptism

Have you been confirmed?

Please select one option.

Yes No

Date or place of confirmation

Place of employment

Would you like to receive our weekly Trinity Connections email newsletter?

Please select one option.

Yes No

Family Status

Please select one option.

Single Single with children Married Married with children Couple Couple with children Widowed Widowed with children

If Married, date of marriage

Are you a member of another church?

Please select one option.

Yes No

Have you secured transfer or release?

Please select one option.

Yes No, but I will do so soon No, I would like help with this

Name and address of former church

Spouse or significant other information

Name

Maiden name if applicable

Phone

Cell Phone

Date of Birth

Gender

Have you been baptized?

Please select one option.

Yes No

Date of baptism

Have you been confirmed?

Please select one option.

Yes No

Date of confirmation

Place of employment

Children Information

Do you have children that will be joining with you at this time?

Please select one option.

Yes No

Name of child(ren) joining with you at this time, their date of birth, gender, school grade, baptism date, and confirmation date

Membership Registration Form

Description

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