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New Member Information Form - Fox Point Lutheran Church

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PLEASE LIST CHILDREN WHO ARE ALSO BECOMING MEMBERS<br />

CHILDREN WHO ARE BECOMING MEMBERS<br />

FULL NAME ________________________________________________________________________ MALE ________ FEMALE _______<br />

BIRTH (Date)_______________________ (City & State) _______________________________________________________<br />

BAPTISM (Date)_______________________ (<strong>Church</strong>, City, State) _______________________________________________<br />

CONFIRMATION (Date) _______________________ (<strong>Church</strong>, City, State)_______________________________________________<br />

GRADE IN SCHOOL______________________________________ SERVICE ATTENDING (check one) _____ 9:00 a.m. _____ 10:30 a.m.<br />

FULL NAME ________________________________________________________________________ MALE ________ FEMALE _______<br />

BIRTH (Date)_______________________ (City & State) _______________________________________________________<br />

BAPTISM (Date)_______________________ (<strong>Church</strong>, City, State) _______________________________________________<br />

CONFIRMATION (Date) _______________________ (<strong>Church</strong>, City, State)_______________________________________________<br />

GRADE IN SCHOOL______________________________________ SERVICE ATTENDING (check one) _____ 9:00 a.m. _____ 10:30 a.m.<br />

FULL NAME ________________________________________________________________________ MALE ________ FEMALE _______<br />

BIRTH (Date)_______________________ (City & State) _______________________________________________________<br />

BAPTISM (Date)_______________________ (<strong>Church</strong>, City, State) _______________________________________________<br />

CONFIRMATION (Date) _______________________ (<strong>Church</strong>, City, State)_______________________________________________<br />

GRADE IN SCHOOL______________________________________ SERVICE ATTENDING (check one) _____ 9:00 a.m. _____ 10:30 a.m.<br />

FULL NAME ________________________________________________________________________ MALE ________ FEMALE _______<br />

BIRTH (Date)_______________________ (City & State) _______________________________________________________<br />

BAPTISM (Date)_______________________ (<strong>Church</strong>, City, State) _______________________________________________<br />

CONFIRMATION (Date) _______________________ (<strong>Church</strong>, City, State)_______________________________________________<br />

GRADE IN SCHOOL______________________________________ SERVICE ATTENDING (check one) _____ 9:00 a.m. _____ 10:30 a.m.<br />

Submit completed form<br />

or print and mail or drop off your form at the church:<br />

7510 N. Santa Monica Blvd. <strong>Fox</strong> <strong>Point</strong>, WI 53217<br />

If you have questions, please contact Sharon Moore, moore@foxpointchurch.org

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