RECORD FOR BAPTISM FORM
FIRST LUTHERAN CHURCH OF GLADSTONE, MI
Full Name of the Person being Baptized
*
First and Middle Name
Last Name
Birthday
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Email
example@example.com
Parent(s) A Name
First Name(s)
Last Name
E-mail
example@example.com
Religious Affiliation
Parent(s) B Name
First Name(s)
Last Name
E-mail
example@example.com
Religious Affiliation
Sponsor(s) A Full Name
First Name
Last Name
Religious Affiliation
Sponsor(s) A Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sponsor(s) B Full Name
First Name
Last Name
Religious Affiliation
Sponsor(s) B Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Baptism
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Worship Service
8:00 a.m.
10:30 a.m.
Other
Submit
Should be Empty: