Member & Emergency Contact Information

If you are a member of Hope Lutheran Church, it is essential that the church office has your contact information on file. Additionally, we maintain a list of emergency contact individuals for our members, in the event of a personal or church emergency.

Please complete the form below. You may submit this form anytime your information changes. We recommend updating your information anytime you move or change your telephone number, email address, or another form of contact.

Your Information

First Name

Last Name

New or Current Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Cell Phone Number

Home Phone Number

Additional Information You Wish To Share:

Your Emergency Contact

Contact First Name

Contact Last Name

Contact Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Contact Cell Phone Number

Contact Home Phone Number

Relationship To You:

Additional Information You Wish To Share:

Secondary Emergency Contact (if desired)

Contact First Name

Contact Last Name

Contact Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Contact Cell Phone Number

Contact Home Phone Number

Relationship To You:

Additional Information You Wish To Share:

< Back

Next >

Submit