Request for Holy Baptism
We wish to obey Jesus’ command that all people are to be baptized. We believe that the Holy Spirit comes to infants as well as older people by means of Holy Baptism and gives them the gift of faith in Christ and the forgiveness of sins and salvation our Savior earned for us. For these reasons, we wish to have our children baptized as soon as possible.

Note: We prefer that the pastor who serves as liturgist on the Sunday of the Baptism, be the pastor to perform the baptism.


Please fill out the form below. Responses will be used to generate the baptismal certificate.

Child’s FULL Name: *
Your answer
Date of Birth: *
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Place of Birth: *
Your answer
Father’s FULL Name: *
Your answer
Father’s Church Membership: *
Your answer
Mother’s FULL Name: *
Your answer
Mother’s Church Membership: *
Your answer
Parents address: (Street, City, State, Zip) *
Your answer
Parental Contact: (Email or Phone Number)
Your answer
Baptism has already taken place
If the baptism has already taken place, please provide below: 1) Date of the baptism, 2) who performed the baptism, and, 3) who the witnesses were
Your answer
Would like to request a Baptism date:
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Would like to request a Baptism time:
Place of Baptism:
Where will the requested baptism take place?
Your answer
Sponsors/Witnesses:
Please provide the names of the people who will be sponsors/witnesses for the baptism
Your answer
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