Member Information Sheet (Child)
Please fill out as much of this form as you can.
Once we receive your information we will contact you with questions..
Thank you for your interest in River of LIFE Lutheran Church!
River of LIFE Lutheran Church
Membership Submission
Exhibit A
By completing this form you hereby elect to become a member of River of LIFE Lutheran Church.
PERSONAL INFORMATION
Name
*
Gender
Please select one option.
Male
Female
Marital Status
Please select one option.
Single
Engaged
Married
Divorced
Widowed
Seperated
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Single
Engaged
Married
Divorced
Widowed
Seperated
Birth Date
*
Anniversary Date
CONTACT INFORMATION
Mobile Phone
Do you wish to receive text messages?
*
Please select all that apply.
Yes
No
By selecting "Yes" above, I am consenting to receive SMS messages from Breeze regarding information and announcements for River of LIFE Lutheran Church. I understand that message and data rates may apply and message frequency varies. I can opt out by responding STOP at any time. For support I can text HELP to 87447. Please review the Breeze Privacy Policy and Terms of Service available at
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for more details.
Work Phone
Home Phone
Email
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Please select all that apply.
Check here if you would like all or some of your contact information to remain private.
DIRECTORY PERMISSIONS
Online Directory
*
Please select one option.
Opt In
Opt Out
CHILD / YOUTH INFORMATION
School Attending
Please select one option.
St. Peter - South Elementary
St. Peter - North Elementary
St. Peter Middle School
St. Peter High School
St. Peter Lutheran School
St. Peter John Ireland
Belle Plaine - Chatfield Elementary
Belle Plaine - Oak Crest Elementary
Belle Plaine Middle/Senior High School
Belle Plaine - Trinity Lutheran
Cleveland Public Schools
Mankato Loyola
Mankato - Bridges Elementary
Mankato - Eagle Lake
Mankato - Franklin Elementary
Mankato - Hoover Elementary
Mankato - Jefferson Elementary
Mankato - Kennedy Elementary
Mankato - Monroe Elementary
Mankato - Roosevelt Elementary
Mankato - Rosa Parks Elementary
Mankato - Washington Elementary
Mankato - Dakota Meadows Middle School
Mankato - Prairie Winds Middle School
Mankato West
Mankato East
Nicollet Public Schools
Home School
Other
Select Option
St. Peter - South Elementary
St. Peter - North Elementary
St. Peter Middle School
St. Peter High School
St. Peter Lutheran School
St. Peter John Ireland
Belle Plaine - Chatfield Elementary
Belle Plaine - Oak Crest Elementary
Belle Plaine Middle/Senior High School
Belle Plaine - Trinity Lutheran
Cleveland Public Schools
Mankato Loyola
Mankato - Bridges Elementary
Mankato - Eagle Lake
Mankato - Franklin Elementary
Mankato - Hoover Elementary
Mankato - Jefferson Elementary
Mankato - Kennedy Elementary
Mankato - Monroe Elementary
Mankato - Roosevelt Elementary
Mankato - Rosa Parks Elementary
Mankato - Washington Elementary
Mankato - Dakota Meadows Middle School
Mankato - Prairie Winds Middle School
Mankato West
Mankato East
Nicollet Public Schools
Home School
Other
Grade
Please select one option.
No Grade
Pre-Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Select Option
No Grade
Pre-Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Allergies
Other Info
CHURCH MILESTONES
Baptism Date
Baptism Location
Confirmation Date
Confirmation Location
PREVIOUS CHURCH ATTENDED
Name of Church
City & State
*
Please select all that apply.
I would like River of LIFE to contact my previous church to transfer my membership and gather any important dates like baptism and confirmation.
WAYS TO GET INVOLVED
Areas of Interest
Please select all that apply.
Acolyte
Altar Committee
Children's Message
Communion - Serve
Communion - Set Up
Greeter
Live Stream
Music - Play Instrument
Music - Vocals
Reader
Refreshment Cleanup
Usher
Vacuum
Worship Coordinator
Sound System
Sunday School - Teacher
Sunday School - Substitute Teacher
VBS
COMMENTS
Submit
Description
Please fill out as much of this form as you can.
Once we receive your information we will contact you with questions..
Thank you for your interest in River of LIFE Lutheran Church!
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