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Churches in the Evangelical Lutheran Church in America (ELCA) practice open communion, where all baptized Christians can receive this sacrament.

Some ELCA churches offer the sacrament to all children regardless of age, some wait until after confirmation and others wait until a child can complete and understand a class about the Eucharist at around 7 or 8 years of age.[20][21]

The manner of receiving the Eucharist differs throughout the world. Sometimes there is a cushioned area at the front of the church where the congregation can come to the front to kneel and receive this sacrament.

Typically, the pastor distributes the bread and an assistant then distributes the wine. The congregation departs and may make the sign of the cross. In other Lutheran churches, the process is much like the Catholic Church, the pastor, or eucharistic minister and acolyte line up with the pastor in the center, holding the bread, the eucharistic minister on either side, holding the chalice.

If a Lay Minister of the Eucharist has been appointed and missioned, then they may distribute the sacrament.