Baptism Information Form | Bethlehem Lutheran Church

Thank you for completing this form and helping us to gather some basic information about your need for baptism. If there’s something you’d like us to know about you or your situation, please be sure to add a note in the additional information.

P: 585-223-0634
E: office@blcfairport.org

Bethlehem Lutheran Church Baptism Information Form

Preferred Baptismal Date(Required)

Name of person to be baptized(Required)

First Middle Last

Date of Birth

Age/Grade

If the person to be baptized is a child, please share information about the parents:

Parent 1 - Name

First Middle Last

Are you a BLC Member?

Yes

Your Address

Street Address Address Line 2 City ZIP Code

Your Email Address

Email Address Confirm Email Address

Your Phone

Best Time to Call You

Is texting ok?

Yes

Parent 2 - Name

First Middle Last

Are you a BLC Member?

Yes

Your Address

If the same as above leave blank

Street Address Address Line 2 City ZIP Code

Your Email Address

Email Address Confirm Email Address

Your Phone

Best Time to Call You

Is texting ok?

Yes

Sibling Information

Sibling(s) Name

Date of Birth/Grade

Sibling(s) Name

Date of Birth/Grade

Sibling(s) Name

Date of Birth/Grade

Sponsor Information (if known):

Sponsor(s) Full Name

First Middle Last

Sponsor(s) Full Name

First Middle Last

Current Connections at BLC (family or friend):

Additional Information:

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Bethlehem Lutheran Church Baptism Information Form

If the person to be baptized is a child, please share information about the parents:

Sibling Information

Sponsor Information (if known):

Contact Information

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