Baptism Registration Form
Use this form to record all information needed for a Baptism at St. John. To actually schedule a Baptism please contact the church office at 716.693.9677
Full Name *
Your answer
Date of Birth *
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DD
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YYYY
Place of Birth *
Your answer
Father's Full Name *
Your answer
Church Membership *
Mother's Full Name (Maiden also) *
Your answer
Church Membership *
Address *
Your answer
City *
Your answer
State
Your answer
Zip *
Your answer
Phone *
Your answer
Email *
Your answer
Sponsors/Witnesses *
Your answer
Date of Baptism (needs to be confirmed by contacting church office)
MM
/
DD
/
YYYY
Pastor (office use)
Your answer
Submit
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This form was created inside of St. John Lutheran.