INTENT FORM
Peace Lutheran Church, Galion, Ohio
Peace Lutheran Church - Galion, Ohio
Intent Form
Personal/Family Information Sheet
This information will be entered into the office computer in our records for your
family. Birthday and anniversary (if applicable) dates must include the year. If you
need assistance, please let us help you. Call us at 419-468-3141. Thank you
Name
Address
Home Phone
Work Phone
Publish
Yes
No
Place of Work/Spouses Place of Work
Baptism Place/Date
Birthday
Spouse Name and Baptismal Place & Date
Do You Or Family Members Wish To Be Baptized? Plase make note here.
Wedding Anniversary Date
