New Member Information Form - Fox Point Lutheran Church

Please return to church office
FOX POINT LUTHERAN CHURCH
as soon as possible.
7510 N. Santa Monica Blvd.
Milwaukee, WI 53217
Church Office -414-352-8990 Fax # 414-352-1482 - church@foxpointchurch.org
PLEASE PRINT
NEW MEMBER DATA
Name _____________________________________________________________________________
Date ___________________________
Home Address ________________________________________________________________________________________________________________
City ____________________________________ Zip _________________
Home Phone (Listed/Unlisted) ____________________________
Please send the newsletter, The Messenger by: Mail _______ Email ___________________________________________________________
FULL NAME
(Mr., Ms., Dr.) __________________________________________________________________________________________________
BIRTH (Date)_______________________ (City & State) _______________________________________________________
BAPTISM (Date)_______________________ (Church, City, State) _______________________________________________
CONFIRMATION (Date) _______________________ (Church, City, State)_______________________________________________
MARRIAGE (Date)_______________________ (Place, City, State)_________________________________________________
PRIOR CHURCH AFFILIATION (& DENOMINATION), IF ANY _______________________________________________________________
OCCUPATION/EMPLOYER _____________________________________________________________________________________________________
BUSINESS PHONE (Ext.) ____________________________ FAX__________________ ________ CELL _____________________________
BUSINESS E-MAIL_____________________________________________________
PERSONAL E-MAIL ___________________________________________________
SPECIAL INTERESTS__________________________________________________________________________________________________________________
FULL NAME (Mr., Ms., Dr.) _______________________________________________________ MAIDEN NAME_______________________________
BIRTH (Date)_______________________ (City & State) _______________________________________________________
BAPTISM (Date)_______________________ (Church, City, State) _______________________________________________
CONFIRMATION (Date) _______________________ (Church, City, State)_______________________________________________
MARRIAGE (Date)_______________________ (Place, City, State)_________________________________________________
PRIOR CHURCH AFFILIATION (& DENOMINATION), IF ANY _______________________________________________________________
OCCUPATION/EMPLOYER _____________________________________________________________________________________________________
BUSINESS PHONE (Ext.) ____________________________ FAX__________________ ________ CELL _____________________________
BUSINESS E-MAIL_____________________________________________________
PERSONAL E-MAIL ___________________________________________________
SPECIAL INTERESTS________________________________________________________________________________________
I/WE ALREADY HAVE ENVELOPES_______________
WOULD LIKE ENVELOPES_______________

PLEASE LIST CHILDREN WHO ARE ALSO BECOMING MEMBERS
CHILDREN WHO ARE BECOMING MEMBERS
FULL NAME ________________________________________________________________________ MALE ________ FEMALE _______
BIRTH (Date)_______________________ (City & State) _______________________________________________________
BAPTISM (Date)_______________________ (Church, City, State) _______________________________________________
CONFIRMATION (Date) _______________________ (Church, City, State)_______________________________________________
GRADE IN SCHOOL______________________________________ SERVICE ATTENDING (check one) _____ 9:00 a.m. _____ 10:30 a.m.
FULL NAME ________________________________________________________________________ MALE ________ FEMALE _______
BIRTH (Date)_______________________ (City & State) _______________________________________________________
BAPTISM (Date)_______________________ (Church, City, State) _______________________________________________
CONFIRMATION (Date) _______________________ (Church, City, State)_______________________________________________
GRADE IN SCHOOL______________________________________ SERVICE ATTENDING (check one) _____ 9:00 a.m. _____ 10:30 a.m.
FULL NAME ________________________________________________________________________ MALE ________ FEMALE _______
BIRTH (Date)_______________________ (City & State) _______________________________________________________
BAPTISM (Date)_______________________ (Church, City, State) _______________________________________________
CONFIRMATION (Date) _______________________ (Church, City, State)_______________________________________________
GRADE IN SCHOOL______________________________________ SERVICE ATTENDING (check one) _____ 9:00 a.m. _____ 10:30 a.m.
FULL NAME ________________________________________________________________________ MALE ________ FEMALE _______
BIRTH (Date)_______________________ (City & State) _______________________________________________________
BAPTISM (Date)_______________________ (Church, City, State) _______________________________________________
CONFIRMATION (Date) _______________________ (Church, City, State)_______________________________________________
GRADE IN SCHOOL______________________________________ SERVICE ATTENDING (check one) _____ 9:00 a.m. _____ 10:30 a.m.
Submit completed form
or print and mail or drop off your form at the church:
7510 N. Santa Monica Blvd. Fox Point, WI 53217
If you have questions, please contact Sharon Moore, moore@foxpointchurch.org