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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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* Indicates required question
Child's Name
*
First, Middle, Last
Your answer
Father's Name
*
Your answer
Mother's Name
*
Your answer
Mother's Maiden Name
Your answer
Street Address
*
Your answer
City, State, Zip
*
Your answer
Phone Number
*
Your answer
E-mail Address
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Child's City of Birth
*
Your answer
Requested Date of Baptism
*
MM
/
DD
/
YYYY
Requested Service for Baptism
*
Saturday 5:30pm
Sunday 8:00am
Sunday 10:30am
Monday 6:00pm
Other:
If your baptism is during a service, how many pews would you like reserved?
*
Choose
1
2
3
4
Name of Sponsor
Your answer
Name of Sponsor
Your answer
Name of Sponsor
Your answer
Name of Sponsor
Your answer
Comments
Your answer
Name of Person Submitting Form
*
Your answer
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