2017 Children’s Christmas Program

Phone
This field is for validation purposes and should be left unchanged.
Baptismal Candidate Full Name*
Gender*
Has the child been born yet?
- Yes
- No
Date of Birth:
MM slash DD slash YYYY
City of Birth*
Parent 1 Name*
Parent 2 Name*
Street Address*
City, State, Zip*
Phone Number for Parent 1*
Phone Number for Parent 2*
Email Address for Parent 1*
Email Address for Parent 2*
Sponsor(s) Name(s)*
First Choice for Baptism Date*
MM slash DD slash YYYY

Baptisms are performed on the 2nd, 4th, and 5th weeks of the month during our regular worship times.
Time of Service Preferred*
Second Choice for Baptism Date
MM slash DD slash YYYY

Baptisms are performed on the 2nd, 4th, and 5th weeks of the month during our regular worship times.
Time of Service Preferred
Does Parent 1 have a church membership?*
- Yes
- No
Does Parent 2 have a church membership?*
- Yes
- No
If no, then I am a member of...*

Bethel Lutheran Church

312 Wisconsin Avenue
Madison, WI 53703-2108

(608) 257-3577

(608) 257-4044 - FAX

Bethel is a Reconciling in Christ congregation