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Church Records Form
Please fill out one form per adult in your household.
(Please use the Child Records Form for any children in your household.)
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* Indicates required question
Email
*
Your email
First, Middle, and Last Name
*
Your answer
Mailing Address (Street, Apt. #, City, State, Zip)
*
Your answer
Cell Phone
*
Your answer
Home Phone (if applicable)
Your answer
Birthdate (Month, Day, Year)
*
Your answer
Birthplace (City, State)
Your answer
Gender
*
Male
Female
Marital Information
*
Single
Engaged to be Married
Married
Widowed
Divorced
More Marital Information (if applicable): Your spouse's first and last name, if widow(er) spouse's death date, or divorce date
Your answer
Is your spouse a member of this Church? (if applicable)
Yes
No
Clear selection
Your Parents' First and Last names
Your answer
Children's Information (if applicable): First and Last Name, Birthdate, Gender
Your answer
Your Employer and Occupation
Your answer
Baptism Date (If known include Church, City/ State, Officiant, WELS? Y/N, Witnesses)
Your answer
Confirmation Date (If known include Church, City/ State, Officiant, WELS? Y/N)
Your answer
Wedding Date (If known include Church, City/ State, Officiant, Witnesses)
Your answer
Talent Information (List areas you feel comfortable serving in)
Your answer
Church Activities (Activities or positions in which you have served)
Your answer
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