Baptism FormCongratulations on planning a baptism! Full Name (including middle name) of Baptismal Candidate * Please include FIRST NAME AND MIDDLE NAME in the "First Name" box. The church needs the candidate's FULL LEGAL NAME. First Name Last Name Date of Birth * MM DD YYYY Gender * Female Male City and State of Birth * Mother's Full Name (including maiden name) * Father's Full Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Primary Phone * (###) ### #### Email * Preferred Contact Method * Phone Email Are the parents currently members of First Lutheran Church? * Mother, yes Mother, no Father, yes Father, no If no, is either parent a member of a different church? Please include church name, address, and city and state. Have sponsors been chosen? * Yes No If sponsors have been chosen, please list name(s) and relationship to baptized. If the candidate is a child, does he or she have siblings? * Yes No If yes, please list siblings' names and ages and indicate if they are baptized. Would you like the baptism listed in First Word? * Yes No Thank you! An FLC staff member will contact you for further information.
