Church Membership Form - Racine Lutheran High School
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1Church Membership Form
Student’s name
_____________________________________________________
(Please print)
Parents’ names
_____________________________________________________
(Please print)
ASSOCIATION GRANT ELIGIBILITY
A student may qualify for an Association Grant, if he/she and at least one parent are active members at one of the
school’s Association Congregations (listed below). If the student wishes to be considered for this grant, he/she must
secure the signature of the pastor and return this completed form to the RLHS Admissions Office.
Association Churches
Christ the King
Pentecost,
, 3350 LaSalle Street, Racine
2213 Coolidge Avenue, Racine
Faith
Iglesia Santa Cruz
, 8500 Durand Avenue, Sturtevant
, 3350 Lathrop Avenue, Racine
Grace
Prince of Peace
, 3700 Washington Avenue, Racine
, 4340 Six Mile Road, Racine
St. John’s
Holy Cross
, 3350 Lathrop Avenue, Racine
, 510 Kewaunee Street, Racine
St. Paul’s
nd
Messiah
, 2026 - 22
Avenue, Kenosha
, 1610 Main Street, Union Grove
Living Hope
Trinity
, 1619 N. Newman Road, Racine
, 2035-65 Geneva Street, Racine
We are Association Congregation members at: _______________________________________
Pastor’s name (Please print) ________________________________________________________________
Pastor’s signature ________________________________________________ Date ___________________
We are members at a non-association church:
Name of church __________________________________________________________________
Denomination ____________________________________________________________________
_______ No church membership at this time
________ Interested in joining an Association Congregation
Racine Lutheran High School
251 Luedtke Avenue Racine, WI 53405 262-637-6538
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