Request for Baptism Form

"Let the children come to me, and do not stop them, because the kingdom of God belongs to such as these." - Mark 10:14

Please fill out the following form at your convenience. Once the Pastor has received your completed form, he will contact you directly with additional information. Typically, our Pastor will meet with you in-person or over Zoom to go over instructions and what to expect. Our Pastor is in the office on Wednesdays and can be reached at PastorLuther@htelc.com

Date to be Baptized

You may write multiple dates, in case your first choice for a date isn't available. Please write your date(s) in order of preference.

Child's Full Name

First, Middle, and Last Name.

Parent's Full Name

Full, Middle, and Last

Parent's Full Name

Full, Middle, and Last

Child's Date of Birth

YYYY

Place of Birth

Siblings

Names Only. If no siblings, write "None"

Address

Phone Number

Sponsor #1

First Name

Last Name

Sponsor #2

First Name

Last Name

Additional Info