BAPTISM INFORMATION APPLICATION Date of Contact: ____________

BAPTISM INFORMATION APPLICATION Date of Contact: _____________

TRINITY LUTHERAN CHURCH - 45160 Van Dyke - Utica MI 48317 - Phone 586-731-4490 Fax 586-731-1071

Baptismal Rite Information (for office use only)

Baptism Date: __________________________ Pastor: __________________________

0 Sat/5:30 0 8:00 0 9:30 0 11:00 0 Mon/7:00 0 After the service -time ________

Attended Baptism Seminar? Yes No Date: ______________ Time: ____________ By: ______________

If Member - Attendance: Mother ________________ Father: ___________________

Person being Baptized: ______________________ ____________________________________________________

first middle last

0 Child 0 Adult Date of Birth: ___________________________ 0 Male 0 Female

Place of Birth: ___________________________ ___________________________________ _______

hospital city state

FATHER: ________________________ ______ _____________________________ Age: _____

first middle last

Father member of Trinity? 0Yes 0 No 0 Married 0 Divorced 0 Single

MOTHER: ________________________ ______ _____________________________ Age: _____

first middle nee (maiden name)

Mother member of Trinity? 0Yes 0 No 0 Married 0 Divorced 0 Single

Address: __________________________________ ____________________________________________

number city/state/zip

Phone numbers:

Cell _______________________ Home _____________________ Work ____________________

If not members, please list church affiliation or relationship to Trinity: ____________________________________

SPONSOR INFORMATION

Name: __________________________________ 0 Lutheran 0 Other (specify) ________________

** Please give 3 weeks notice of Baptism date. We must be in contact with you before your date can be confirmed.