Christ Lincoln Baptism Request Form

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.
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

Father's Information
Father's Full Name

First Name Middle Name Last Name Suffix
Is he a member of Christ Lincoln?

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

Mother's Information
Mother's Full Name

First Name Middle Name Last Name Suffix
Is she a member of Christ Lincoln?

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