Baptism Information Form for United Lutheran Church — United Lutheran

Full Name of Candidate

Date of Birth

Date of Baptism

Address

City, State, Zip

Home Phone

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Work Phone

(###)

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Cell Phone

(###)

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E-mail

Siblings Names and Ages

Father's Name

Father's Church Membership (Name of church & location)

Mother's Maiden Name

Mother's Church Membership (Name of church & location)

Sponsor's Name 1

Sponsor's Name 2

Sponsor's Name 3

Sponsor's Name 4

Other Comments