Adult Statement of Intent

If you intend to join Lookout Mountain Presbyterian Church, please fill out the following statement of intent and submit it on or before the deadline.

Fall 2023 Dates:
Membership Sunday: TBD
Vow Sunday: TBD
Deadline for the Statement of Intent form: TBD

New Member Information
The responses on this and all forms are intended only for use by authorized personnel of LMPC.
Title*
Prefix
Full Name*
First Middle Last Suffix
What name do you go by?
Date of Birth*
Month
Day
Year
Gender
Marital Status
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Cell Phone
Work Phone
Which phone number would you like to be primary for your family?*
Please coordinate your primary number with your spouse if applicable so your responses are in agreement.
- Home phone listed above
- Cell phone listed above
Primary Email Address*
Enter Email Confirm Email

By providing your email address, you consent to receive emails from LMPC. You may unsubscribe later, but it is a crucial avenue for keeping up to date with happenings at LMPC.
Spouse's Name
First Last
Spouse's Date of Birth
Month
Day
Year
Are there any children living with you?*
- Yes
- No
Children living with you:
Full Name "Goes by" name DOB Gender Baptized (y/n) and Date
Children's photo permission:*
Do we have permission to use your children’s photos on the church website (their names will not be listed) and in our church publications?
- Yes, you may post photos of my children
- No, please don’t post photos of my children
Would you like to be added to the LMPC online directory? (Note: it is only accessible through Realm, and not publicly available.)
- Yes
- No
Which worship service do you normally attend?
- Sanctuary 9:30 a.m.
- Fellowship hall 9:30 a.m.
- Sanctuary 11:00 a.m.
- Fellowship hall 11:00 a.m.
- No specific service
Statement of Intent
One form per person, please.
Having completed the Intro to LMPC class, I now desire to join LMPC.*
- I affirm this statement.
I will be joining Lookout Mountain Presbyterian Church by:*
- Professing my faith in Christ (I have never joined a church as a believer in Jesus Christ before).
- Reaffirmation of my faith in Christ (I have previously joined a Protestant church, but my membership is not currently on record).
- Transferring my church membership (I am currently a member in good standing of a Protestant church that will grant a transferred membership to Lookout Mountain Presbyterian Church).
- Associate Membership, keeping my primary membership at the following church.
Name and address of the church:*
Church Address City State ZIP Code
Have you been baptized?
- I’ve never been baptized and wish to do so in obedience to Christ’s command.
- I have been baptized.
Name, city & state of the church where baptized
Church City State
In which service do you wish to take your membership vows?
If you are planning on taking your vows with another family member, please make sure that each of you chooses the same service when submitting your form.
- Sanctuary 9:30 a.m.
- Fellowship hall 9:30 a.m.
- Sanctuary 11:00 a.m.
- Fellowship hall 11:00 a.m.

Full Name	"Goes by" name	DOB	Gender	Baptized (y/n) and Date

New Member Information

Statement of Intent

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