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Baptism Form

Baptism Certificate and Request Form

Receiving God’s Grace Through the Blessing of Baptism

If you would like to learn more about baptism from the perspective of the Lutheran Church Missouri Synod, you can find more details here on the LCMS website.

The following form includes all the details that the church office needs to prepare a baptism certificate. Please fill in the details as completely as possible.

Once this form is submitted, a member of our pastoral team will reach out to you to confirm the baptism date. If you have additional questions on the rite of baptism, the vow of Christian parenting, or if you need any special arrangements, you may call 920-965-2233 and ask to speak with a pastor. We are happy to answer any questions that you may have. God’s blessings be yours as you prepare for this important day!

Baptism Form

Family Information

Is the candidate for baptism a child or adult?

Child Baptism Candidate's Parent Information

Mother's First Name

Mother's Last Name

Mother's Email

Mother's Phone Number

Mother's Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Father's First Name

Father's Last Name

Father's Email

Father's Phone Number

Does the father live at the same address as the mother?

Yes

No

Father's Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Child Baptism Candidate's Information

Enter the name below as you'd like it to appear on the Baptism Certificate.

Candidate's First Name

Candidate's Middle Name(s)

Candidate's Last Name

Candidate's Birthday

Candidate's Place of Birth (Hospital, City, State)

Select

Male

Female

Requested Baptism Date

Which of our church sites?

Green Bay

Suamico

Adult Baptism Candidate's Information

Enter the name below as you'd like it to appear on the Baptism Certificate.

Candidate's First Name

Candidate's Middle Name(s)

Candidate's Last Name

Email

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Candidate's Birthday

Candidate's Place of Birth (Hospital, City, State)

Select

Male

Female

Requested Baptism Date

Which of our church sites?

Green Bay

Suamico

Sponsor/Witness/Godparent 1

Sponsor/Witness/Godparent 2

Sponsor/Witness/Godparent 3

Sponsor/Witness/Godparent 4

Anything else you'd like to share with us?

Phone

Church: 920-965-2233

School: 920-965-2244

Childcare: 920-965-2234

Green Bay Location

1731 St. Agnes Dr., Green Bay, WI 54301

Suamico Location

2999 Lakeview Dr., Suamico, WI 54173