Newcomer Information Form

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First Adult Information
First Name
Middle Name
Last Name
Title
Street Address
City
State
Zip Code
Work Phone
Home Phone
E-mail
Date of Birth
City of Birth
State
Date of Baptism
Church of Baptism
City
State
Date of Confirmation
Church of Confirmation
City
State

Second Adult Information
First Name
Middle Name
Last Name
Title
Street Address
City
State
Zip Code
Work Phone
Home Phone
E-mail
Date of Birth
City of Birth
State
Date of Baptism
Church of Baptism
City
State
Date of Confirmation
Church of Confirmation
City
State

Children Living at home
Child 1
First Name
Middle Name
Last Name
Date of Birth
City of Birth
State
Date of Baptism
Church of Baptism
City
State
Date of Confirmation
Church of Confirmation
City
State
Child 2
First Name
Middle Name
Last Name
Date of Birth
City of Birth
State
Date of Baptism
Church of Baptism
City
State
Date of Confirmation
Church of Confirmation
City
State
Child 3
First Name
Middle Name
Last Name
Date of Birth
City of Birth
State
Date of Baptism
Church of Baptism
City
State
Date of Confirmation
Church of Confirmation
City
State

Requests
Please check all that apply
 Please send me information about Holy Trinity Church.
 Please add my name to the mailing list.
 I am not a member of any church and would like to join Holy Trinity Church.
 Please transfer my membership to Holy Trinity Church.
Name and Location (Address if Known) of Former Church:

Ministries

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