Family Membership Form

*If specific dates are not known, just indicate if they took
place (yes/no) and we can acquire that information later

Salem Lutheran Church
631 N. 7th St. Montevideo, MN 56265
320-269-7624 • slcelca@msn.com
www.slcmonte.org

Today’s Date:

Household Mailing Address:

Person 1

Full Name:

Phone Number: Email Address:

Birthday: Baptism*: Confirmation*:

Person 2 (if applicable)

Full Name:

Phone Number: Email Address:

Birthday: Baptism*: Confirmation*:

Wedding Date if Person 1 & 2 are Married:
Children

List full names, dates of birth, school grades, baptism dates* and confirmation
dates* of each child in the household also joining Salem.

Past Church Involvement

Name and location of the church(es) where membership was most recently held.
We will notify this church/these churches of your transfer to Salem. Please also
include any notes about your past church involvement you’d like us to know;
Groups/activities you participated in, etc.; Groups/activities you may be interested
in at Salem, etc.; Who at Salem you already know (first names only is fine)