Baptismal Application - Bethany Lutheran Church • Bethany Lutheran Church

Email Address *

Preferred Date of Baptism *

Second Choice for Date of Baptism *

Summer Worship Schedule: From June through September 2026, Bethany gathers for one combined Sunday worship service at 9:30 AM. Baptisms scheduled during this period would be celebrated during the 9:30 AM service.

Preferred Service Time *

9:00 am (During Indoor Service - this service is livestreamed)

10:30 am (During Indoor Service - this service is NOT livestreamed)

9:30 AM (June - September 2026 only; our combined summer worship service - this service is livestreamed)

Please fill out the following with the information of the person being baptized.

First Name of Person Being Baptized *

Middle Name

Last Name *

Parents' Names (if candidate is a child)

Siblings

Home Address *

Home Address Line 2

Home City *

Home Zip Code *

Home State *

Phone Number *