PREPARING FOR BAPTISM

Baptism Information

Please fill out the online form below to indicate your request to be baptized. Adults or children are welcome at the baptismal font. Please contact PScott for more information. Click here to return to the Baptism Main Page.

Baptized Information

Name of Person to be Baptized

First, Middle, Last:

Checkbox

Child/Baby Baptism

Adult Baptism

Date of Birth

YYYY

City, State of Birth

Parent 1 Name

Please include maiden name if applicable

Parent 2 Name

Please include maiden name if applicable

Home Address

Phone Number

Sponsor Information

Sponsor Names

Will Sponsors Be Attending the Service?

Yes

Date Information

Date of Baptism Requested

YYYY

Pastor Officiating

Church Membership

Any Additional Information: