Baptism Request Form
Thank you for your interest in baptism at Christ Lincoln. We are excited to bring a new member into Christ's family. After we receive your information, we will contact you to confirm the details.
Who is this baptism being requested for?
Myself
My Child
Other
Email
*
example@example.com
Name of Baptized
*
First Name
Middle Name
Last Name
Suffix
Gender
*
Male
Female
Baby not born, excited to find out!
Birth Date
*
-
Month
-
Day
Year
Date
Birthplace
*
Town, State
Does this child have siblings?
*
Yes
No
Please list all siblings of this child.
*
Please list First and Last Names
Have all of the listed children been baptized?
*
Yes at another church
Yes at Christ Lincoln
No they have not been baptized yet
Other
Which Pastor(s) baptized your child(ren)?
*
Please list Pastor's name(s)
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Father's Information
This information should be provided for infant/child baptism requests.
Father's Full Name
First Name
Middle Name
Last Name
Suffix
Is he a member of Christ Lincoln?
Yes
No
Interested
Has he been baptized?
Yes
No
Interested
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
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Mother's Information
This information should be provided for infant/child baptism requests.
Mother's Full Name
First Name
Middle Name
Last Name
Suffix
Is she a member of Christ Lincoln?
Yes
No
Interested
Has she been baptized?
Yes
No
Interested
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
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Sponsor's Information
This information should be provided for all baptism requests.
First Sponsor's Name
First Name
Last Name
Are they a member of Christ Lincoln?
Yes
No
Interested
Second Sponsor's Name
First Name
Last Name
Are they a member of Christ Lincoln?
Yes
No
Interested
Third Sponsor's Name
First Name
Last Name
Are they a member of Christ Lincoln?
Yes
No
Interested
Fourth Sponsor's Name
First Name
Last Name
Are they a member of Christ Lincoln?
Yes
No
Interested
How are your Sponsor's related?
Married
Siblings
Not related
Other
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Service Preferences
This information should be provided for all baptism requests.
Which Worship Community would you like the baptism to take place in?
*
Sanctuary Worship
211 Sumner Worship
211 Yankee Hill Worship
Which Pastor would you prefer perform the baptism?
*
Pastor Beran
Pastor Hutton
Pastor Potts
No preference
On which date would you prefer the baptism to occur?
*
-
Month
-
Day
Year
Date
At which service time?
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
How many guests do you expect at the service?
*
If the Pastor would like to meet with you prior to the baptism, what days of the week work best?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Is there any other information you would like us to know?
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