Baptism - Elk River Lutheran Church-ELCA

* Indicates required field

Baptism Date:

Month: *

Day: *

Year: *

Baptism Service Time: *

8:15 A.M. 10:30 A.M.

Name:

First *

Middle *

Last *

Gender: *

Male Female

Date Of Birth:

Month: *

Day: *

Year: *

Place of Birth:

Hospital: *

City: *

State *

Father's Name:

First: *

Middle: *

Last: *

Mother's Name:

First: *

Middle *

Maiden: *

Last: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Sponsors (Include the relationship of the sponsors): *

Submit