Baptism Form
Covenant Lutheran Church
1525 N Van Buren St.
Stoughton, WI 53589

This form must be filled in accurately at least one month Prior to the baptism before it can be scheduled, the Church Certificate can be issued or the baptism recorded in our church records.

Name *
Email *
Phone number *
Baby's Name (First, Middle, Last) *
Boy or Girl? *
Birth Date *
MM
/
DD
/
YYYY
Birth Place (City & State) *
Father's Name (First, Middle, Last)
Father's Address
Mother's Name (First, Middle, Last, Maiden)
Mother's Address (if different) *
Preferred Baptismal Date: *
MM
/
DD
/
YYYY
Service time *
Father's Church Affiliation (Name of church, city and state and denomination)
Mother's Church Affiliation (Name of church, city and state and denomination)
Sponsor's Names, Addresses and Church Affiliation
Additional Information
Submit
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