Baptism Request Form

Please complete this form, and a staff person will contact you to confirm your child’s baptism date and time.

Date of Baptism *
Date of Baptism
What is the preferred date of your baptism?
Venue *
Please choose a venue.
Please choose a pastor to administer the baptism.
Please type your child's first, middle, and last name ...
Child's Birthdate *
Child's Birthdate
Please share the hospital and city ...
Please share the parents' first and last names ...
Street, City, and State ...
Phone *
Phone
Please type the first and last names of your sponsors / godparents ...
Please share the names and ages of any other children in the family ...