Baptism - IMMANUEL LUTHERAN CHURCH

CHILD'S INFORMATION

* Indicates required field

Child's name *

Birthdate *

CIty and State of Birth *

Gender Identification *

Male Female Other

Desired date of Baptism *

PARENT'S INFORMATION

Father's Name *

Father's Address *

Line 1

Line 2

City

State

Zip Code

Country

Father's email *

Mother's Name *

Maiden Name, if applicable *

Mother's Address, if different than father's address *

Line 1

Line 2

City

State

Zip Code

Country

Father's Phone Number *

Best Method of Contact *

Father's email Mother's email Father's phone Mother's phone

When is the best time to call? *

Mother's email *

Mother's Phone Number *

SPONSOR'S INFORMATION

Sponsor's Name *

Sponsor's Name *

Additional Sponsors (optional) *

Submit