Application for Baptism
Royal Redeemer Lutheran Church, Liberty Township, Ohio
Email address
Full Name of Person to be Baptized
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Gender
Date of Birth
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Place of Birth
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Requested Date(s) of Baptism
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Requested worship service
Mother's Full Name
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Father's Full Name
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Mother's address
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Mother's phone
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Mother's email
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Father's address (if different from mother's)
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Father's Phone
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Father's email
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Sponsors/Witnesses (please include relationship, i.e. "brother of John", "friend of Sarah")
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If you would like to request a song or hymn to follow the baptism, please indicate below. This will be at the discretion of the Pastor and Music Director.
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A copy of your responses will be emailed to the address you provided.
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