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St. John's Lutheran Church Baptism Form
Child's name as you would like it to appear on the baptism certificate
Male
Female
Date of birth
mm/dd/yyyy
Place of birth
Father's name
Member of St. John's
Yes
No
Father's email
Father's cell phone
Mother's name
Member of St. John's
Yes
No
Mother's email
Mother's cell phone
Mother's maiden name
Parents married
Yes
No
Parent's address
Parent's land phone
Sponsor's name as you would like it to appear on the certificate (put names of couples in one box)
Sponsor's name as you would like it to appear on the certificate (put names of couples in one box)
Sponsor's name as you would like it to appear on the certificate (put names of couples in one box)
Sponsor's name as you would like it to appear on the certificate (put names of couples in one box)
2nd/4th/5th Sunday of the month. Baptism date MUST be approved by the pastor.
mm/dd/yyyy
Service I would like my child baptized at
First service
Second service
I give permission for pictures of this baptism to be posted online.
*
Yes
No
*
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Input is required
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