Baptism request — St. John Lutheran Church

Full name of child:

City & Date of Birth:

Parents' full names (including maiden name):

Preferred date of baptism:

MM

DD

YYYY

Preferred service time:

8:30 AM Sunday

11:00 AM Sunday

Sponsors:

Email Address:

Phone:

(###)

###

####

Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country