FLC Household Profile Updates • Farmington Lutheran Church

First Name *

Last Name *

Date of Birth *

Email Address *

Mobile Number *

Baptized Date

Confirmed Date

Marital Status

Anniversary

Race Identification (Select one or more) *

Occupation

School Grade

Home Address *

Home State *

Home City *

Home Zip Code *

If you spend part of the year at a second address where you would like FLC to send mailings, please share that below.

Second Home Address

Second Home Address Line 2

Second Home City

Second Home State

Second Home Zip Code

Description