Baptism Application
Please fill in the questions below and click submit. You will only be notified if there is a conflict. Please contact Pastor Graham (cgraham@graceoshkosh.net) or Pastor Rieke (crieke@graceoshkosh.net) with any questions .
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Child's Name *
First, Middle, Last
Child's Gender *
Father's Name *
Mother's Name *
Mother's Maiden Name
Street Address *
City, State, Zip *
Phone Number *
E-mail Address *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's City & State of Birth *
Requested Date of Baptism *
MM
/
DD
/
YYYY
Requested Service for Baptism *
If your baptism is during a service, how many pews would you like reserved? *
Name of Sponsor
Name of Sponsor
Name of Sponsor
Name of Sponsor
Comments
Name of Person Submitting Form *
Submit
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