Baptismal Application
Bethany Lutheran Church
Email address *
Preferred Date of Baptism (Sundays Only)
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Second Choice for Baptismal Date (Sundays Only) *
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DD
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YYYY
Preferred Service Time *
Baptismal Candidate's Full Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Date of Birth *
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YYYY
Place of Birth (City & State) *
Your answer
Parent's Names (if candidate is a child) *
Your answer
Members of Bethany *
Religious Affiliation, if not members (check all that apply) *
Required
Sponsor(s) (Godparents) *
Your answer
A copy of your responses will be emailed to the address you provided.
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