St. John's Lutheran Church Baptism Form Child's name as you would like it to appear on the baptism certificate Date of birth     mm/dd/yyyy Place of birth Father's name Member of St. John's   Yes    No  Mother's maiden name Member of St. John's   Yes    No  Parent's address Parent's phone Sponsor's name as you would like it to appear on the certificate Sponsor's name as you would like it to appear on the certificate Sponsor's name as you would like it to appear on the certificate Sponsor's name as you would like it to appear on the certificate Baptism date (second service)     mm/dd/yyyy Email address

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