LHNation Campus New Membership Card

LH-Online Membership Card for The Lighthouse Church

Date Joined

Name

Relationship Status

Single Engaged Married Divorced Seperated

Spouse a Member?

Yes No N/A

Spouse Name (Enter if they are joining with you now)

Address

Phone

Home Phone

This address will receive a confirmation email

Birthdate

Gender

Female Male

Please Select a Church Status

Church Status

Member (Interested in joining Lighthouse Church) Watcher Only (Not interested in joining Lighthouse Church)

Please Select a Lighthouse Church Campus

Select Campus

LH Online Only (Out of State) LH Online Only (Local: Not able to attend a Campus) LH North (Humble)- 6650 Rankin Rd. 77396 LH South - 12204 Sharpview Dr.. 77072 LH Southeast - 10800 Scott St. 77047 LH West (Katy) - 16219 Clay Rd. 77084

Salvation Yes -Ready to get to know Him No - I met and know Him

Baptism Yes - I want to be baptized Yes - I want to be re-baptized

Prayer Request (Please write below)

Child #1 Information

Child's Name

Gender

Female Male

Birthdate

I would like my child to be a candidate for (you can select both) Baptism Christening

Child #2 Information

Child's Name

Gender

Female Male

Birthdate

I would like my child to be a candidate for.. (you can select both) Baptism Christening

Child #3 Information

Child's Name

Gender

Female Male

Birthdate

I would like my child to be a candidate for.. (you can select both) Baptism Christening

Child #4 Information

Child's Name

Gender

Female Male

Birthdate

I would like my child to be a candidate for.. (you can select both) Baptism Christening

Please Do Not Write Below: Lighthouse Connector Staff Only

Connector Contact Date

Lighthouse Connector

Notes/Remarks

No longer interested in membership Yes

Description

We are so glad you are interested in joining The Lighthouse Church! Please take the time to fill out this form to let our online team know about your interest. We desire you to have all the information to get connected to the Lighthouse Church. Every 1st & 3rd Wednesday "Let's get Connected" Informational Meeting because there's a place for you! Join us on Microsoft Teams at 7:00 pm CST, 8:00 pm EST & 5:00 pm PST https://teams.microsoft.com/l/meetup-join/19%25%0A3ameeting_ZTQ2OTlmMWYtNWZhZi00OWQwLTlmNDItYzc0NDNkMTUwNWMw%2540thread.v2/0?context=%257b%2522Tid%2522%25%0A3a%25225ba0b26d-b85b-4b54-9922-433a1bbe7261%2522%252c%2522Oid%2522%253a%2522787f260f-d321-45b3-8261-84855b9dceec%2522%257d Meeting ID: 278 663 446 440
Passcode: ucYdzo

LHNation Campus New Membership Card

Description

Please Fix the Following