Church Name
Street Name
City, State Zip	
	 
Certificate of Baptism
This Certifies that
Child's Name
Child of (Parent's Name)
born at (Hospital, City, State)
on (Date)
was this day baptized in the name of the Father, and of the son, and of the Holy Spirit, and is now enrolled as a
Baptized Member
of (Church Name) (Street Name, City, State)

Pastor

Date

	

	

	

	

	

	
This Baptism certificate, with additional signature sheets, is put on a clip board and passes around the congregation during the worship service and is signed by everyone who is in attendance. This is given to the child's family along with the regular baptism certificate as a momento of the baptism. We print it on linen paper.
Good Shepherd Lutheran Church, Marshfield, Wisconsin	
Created November 1, 2000 Synod Resource Center, Northwest Synod of Wisconsin