Baptism Form Holy Trinity Lutheran Church in Ankeny, IA - Holy Trinity Lutheran Church - Ankeny, IA

Request for Holy Baptism

* Indicates required field

First Name of Child to be Baptized *

Middle *

Last *

Date of Birth *

City of Birth *

Parent Name *

First

Last

Last Name at Birth (if different than current last name) *

Parent Name *

First

Last

Last Name at Birth (if different than current last name) *

Email *

Phone Number *

Names of Godparents (optional) *

Comments *

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