Baptism Information Form

Please provide some additional baptismal information. Emily Gold,egold@gslcwi.com, will connect with you to schedule baptisms.

Baptism Information

Please list person being baptized

Full name (First, Middle and Last)

*

Birthdate

*

Place of birth (City, State)

*

Gender

*

Please select all that apply.

Male Female

What time of year or month(s) did you have in mind for the baptism?

*

Parent Information

Parent 1 Full Name

*

Parent 2 Full Name

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Parent Relationship (choose one):

*

Please select one option.

Married Partners Single Parent Other

Worship Information

Please indicate your church relationship:

*

Please select one option.

Member of Good Shepherd We attend Good Shepherd We have not yet attended Good Shepherd

Preferred Worship Service

*

Please select all that apply.

9:00 am Worship, Madison Campus 10:00 am Worship, Verona Campus 6:00 pm Worship, Verona Campus No Preference

Sponsor Information

List the first and last name of the sponsor(s)
Indicate "unknown" if sponsors have not yet been selected.

Sponsor(s) Names

*

Misc Information

Would you like to receive our monthly email newsletter?

*

Please select all that apply.

Yes No

Would you like to receive our weekly email eNews?

*

Please select all that apply.

Yes No

Would you like to receive information about early childhood opportunities at Good Shepherd?

*

Please select all that apply.

Yes No

Any additional comments, questions or special considerations we should be aware of?

Description

Please provide some additional baptismal information. Emily Gold,egold@gslcwi.com, will connect with you to schedule baptisms.

Please Fix the Following

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