Baptism Request Form
Please complete this form to schedule a baptism at Zion Lutheran Church for a Child of God who is any age.
Sign in to Google to save your progress. Learn more
Email *
Name of Person to Be Baptized: *
Date of Birth (xx/xx/xxxx) *
MM
/
DD
/
YYYY
City of Birth: *
State of Birth: *
Parents of Child: (required for children only)
Are you a member of Zion? *
Street Address: *
City: *
State: *
Zip code *
Email *
Contact Phone Number (xxx-xxx-xxxx) *
Sponsor Name(s): *
Which date do you request? *
MM
/
DD
/
YYYY
Which days are you available to meet with a pastor? *
Check which times of the day you are available: *
Required
Other dates/times you are available:
Thank you for completing the Baptism Request Form. We look forward to welcoming a new member of God's family at Zion.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms