EmailMeForm
Zion Lutheran Church Covenant Form
The information you provide below will be used to update our membership database.
Personal Information
This form is used to get to know our members a little better. Your answers will be used to complete your file in our database.
I am completing this form as a:
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Current Member updating information
Confirmed in a Lutheran (LCMS) church but do not have an active membership there.
New Member attending Adult Confirmation Class
New Member Transferring from another Lutheran Church (Which Church?)
Head of Household:
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First
Middle
Last
Main Phone
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Landline
Mobile
Alternate Phone
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Landline
Mobile
Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Main Email Address
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Alternate Email
Please send me Zion's weekly Eblast Newsletter
What is your birth date?
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MM
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DD
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YYYY
What was your birth/ maiden name?
First
Middle
Last
Have you been Baptized?
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Yes
No
Baptism Date
MM
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DD
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YYYY
Have you been Confirmed?
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Yes
No
Confirmation Date
MM
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DD
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YYYY
In what church body?
What is your Life Verse (confirmation verse)?
What is your occupational background?
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Employer
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Family/ Household
Marital Status
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Please select
Married
Single
Divorced
Widowed
Date of Marriage
MM
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DD
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YYYY
If applicable
Name of Spouse
First
Middle
Last
Spouse's maiden name (if applicable)
Main Phone
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Landline
Mobile
Email
Birth Date
MM
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DD
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YYYY
Baptized?
Yes
No
Baptism Date
MM
/
DD
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YYYY
Confirmed?
Yes
No
Confirmation Date
MM
/
DD
/
YYYY
In what church body?
Life Verse (confirmation verse)
Spouse's Occupational Background
Spouse's Employer
Please List the children in your household. Please be sure to list any children's last names that are different than the household name.
Full Name (First Middle Last)
Birthday Mo/Day/Year
Baptism Date
Confirmation Date
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
Please list the names of any other family connections you have within Zion's Congregation as well as their association with you.
(Name, Relationship)
Zion Values Involvement:
In addition to worship and Bible study, Zion would like all members to be involved in at least one other ministry.
Please answer for the entire household and specify member of household whenever possible.
For occasional needs, we would like to know any skills or talents you would be willing to share when necessary:
Administrative Skills
Carpentry
Cooking
Driving
Electrical
Financial
Hospitality
Journalism
Leagal Expertise
Media Support
Medical
Mentoring
Painting
Photography
Plumbing
Proof-reading
Language Interpreter
Please mark any area in which you would not mind being called on if a need should arise.
Please specify which of the above applies to your spouse.
What talents would you like to apply regularly in a Zion ministry?
Please List
i.e. singing
Please take some time to consider what you would like to get from participating in ministry. Maybe you are interested in fellowship and creating friendships, or maybe you would like to feel helpful.
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The connections coordinator will use this section to help connect you to a ministry in which you may be interested.
Please list any ministries in which you enjoyed participating in previous congregations:
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Offering
Offering envelopes will be mailed to you each quarter. If you prefer your offerings to be automatically deducted from your account, please download and return the Joyful Response Form by copying and pasting the link below to your browser.
Joyful Response Form
This form can also be found on Zion's website at www.zionharvester.org