Baptismal Application - Bethany Lutheran Church
Email Address
*
Preferred Date of Baptism
*
Second Choice for Date of Baptism
*
Preferred Service Time
*
9:00 am (During Indoor Service - this service is livestreamed)
10:30 am (During Indoor Service - this service is NOT livestreamed)
Please fill out the following with the information of the person being baptized.
First Name
*
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
*
Date of Birth
*
Place of Birth (City & State)
*
Religious Affiliation, if not members (check all that apply)
*
Member
Lutheran, ELCA
Lutheran, Other (Missouri Synod, Wisconsin Synod, etc.)
Catholic
Presbyterian
Methodist
Baptist
E-Free
No religious background
Unsure
Other
Other (Please Describe)
Sponsor(s) (Godparents)
How many people do you expect will attend the ceremony?
Submit