BAPTISM REQUEST FORM

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

Date Request for Baptism

What is the preferred date of the baptism?

YYYY

Venue Choice for Baptism

At this time, services are 9 AM in the Auditorium and 5:30 PM (Sat), 8:15 AM, and 10:15 AM.

Sanctuary

Auditorium

No preference

Private

Service Time Requested

Pastor Requested

Child's Name

Please type your child's first, middle, and last name ...

Child's Birthdate

YYYY

Child's Birth Place

Please share the hospital and city of birth ...

Parent's Names

Please share the parent's first and last names ...

Email Address

Phone

(###)

###

####

Membership Status