Elk Horn Lutheran Church
Know Jesus. Serve God. Spread the Gospel.
Baptism Request Form
Full Name of Person to be Baptized

Age of Person to be Baptized

Date of Birth

Date of Desired Baptism

If Adult to be Baptized, Phone Number

If Adult to be Baptized, Email Address

If Dependent Child, Fathers Name

Father's Phone

Father's Email

If Dependent Child, Mother's Name

Mother's Phone

Mother's Email

Enter the numbers from the image:



          
712-764-5678
4313 Main St., Elk Horn, Iowa, 51531, United States
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