Application for Baptism
Royal Redeemer Lutheran Church, Liberty Township, Ohio
Email address *
Full name of person to be baptized *
Your answer
Gender
Date of Birth *
MM
/
DD
/
YYYY
City, State of Birth *
Your answer
Requested dates for the baptism *
Your answer
Requested worship service *
Mother's full name *
Your answer
Father's full name *
Your answer
Mother's address *
Your answer
Mother's phone *
Your answer
Mother's email *
Your answer
Father's address (if different from mother's)
Your answer
Father's phone *
Your answer
Father's email *
Your answer
Sponsors/Witnesses (please include relationship, i.e. "brother of John", "friend of Sarah")
Your answer
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.
Your answer
A copy of your responses will be emailed to the address you provided.
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