Gloria Dei Lutheran Church

First Name

Last Name

Address 1

Address 2

Country

City

State

Zip/Postal Code

Email

Phone Number

Information about baby

I am expecting a...
Boy
Girl

Due Date

If your baby(ies) are already born, please include his/her full name and birthdate below:

Will this child be welcomed through adoption?
Yes
No

If yes, how old is the child?

Is this your first child?
Yes
No

If no, what are your other children's names and birthdates?

Have you scheduled your baby's baptism yet?
Yes
No

If so, what date?

Would you like a pastor from GDLC to contact you?
Yes
No

If yes, what is the best way to reach you?

Meal information (list any allergies you or your family have):

Would you like a few meals prepared for you after your child arrives?
Yes
No

If yes, how many people are in your family?

Best time to deliver meals:

Favorite foods:

Least favorite foods:

Any other special instructions or information?