Peace Lutheran Church

If you do not yet have a user account, please fill out the form below to request membership. After you submit your information, it will have to be approved by a site administrator before your user account is active. If your information has already been approved, please login above.

* denotes required field

Create a Login *

Password *

8 Characters Minimum • 1 Lowercase Letter • 1 Uppercase Letter • 1 Number • 1 Special Character

Retype Password *

First Name *

Last Name *

Title

Country

Address Line 1

Address Line 2

City

State

Zip Code

Address

City

Home Phone

Office Phone

Cell Phone

Email Address *

Web Page

Birthday

Wedding Anniversary

Member Since

Date of Confirmation

Date of Baptism

Extra Details

Picture

I would like to receive member information and news via email.

I would like to receive member information and news via text message (cell phone number and carrier required).

Please hide the personal information entered above.

All of this information is correct and truthful. I am at least 13 years old or have verifiable permission to submit this information. *