Name *

First Name

Last Name

Phone

(###)

###

####

Ministries You Are Interested In Serving (please select all that apply) *

Comfort Dog Ministry

Deacon Visitation Ministry

Prayer Ministries

Senior Visitation Team

Stephen Ministry

Meadows/Clearbrook

God's Special Friends

Care Ministry Advisory Council

Are you a member of St. Peter Lutheran Church?

Yes

No

Are you a current St. Peter Lutheran School parent?

Yes

No

Have you completed the St. Peter Protection Ministry Screening?

Yes

No

Are you over the age of 18?

Yes

No