Baptism Candidate's Information
Baptism Services are held every 4th Sunday of January and August of the calendar year.
First Name
*
Last Name
*
Gender
*
Male
Female
Date of Birth
*
Phone Number
*
E-mail
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Baptism for?
*
Adult
Child
Baptism Ceremony Date Request:
*
January (4th Sunday)
August (4th Sunday)
Attended baptism orientation?
*
Yes
No
# People attending
Place of birth
*
Mother's name (for youth only)
Member of ONE Church ATL?
Yes
No
Father's name (for youth only)
Member of ONE Church ATL?
Yes
No
Phone Number
Notes or questions
Submit
Should be Empty: