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Baptism Information Form

Name:
Address:
Home Phone:
Cell Phone:
Email Address:
Father:
Mother:
Date of Birth:
Place of Birth:
Date of Baptism:
Place of Baptism:
Sponsors:
Officiant:

Gethsemane Lutheran Church • A member of the Evangelical Lutheran Church in America
35 E. Stanton Ave.
Columbus, Ohio 43214

(614) 885.4319 or Church Office Email