Baptism Data Form — Immanuel Lutheran Church of Lebabnon

Baptism Data Form

Child’s Information

First

Middle

Last

Gender

Male

Female

Date of Birth

MM

DD

YYYY

Place of Birth

Date of Baptism

MM

DD

YYYY

Father's Full Name

Mother's Full Name (Include Maiden Name)

Address

Cell Phone

(###)

###

####

Home Phone

(###)

###

####

Work Phone

(###)

###

####

Email

Godparents

Name of Sibling(s)

Number of Pews You Would Like To Reserve

Comments