Water Baptism Release Form

Water Baptism Release Form

(For Minors)
Our church will be conducting a water baptismal service on Date* during our Time* am/pm service. Your child has expressed an interest in being water baptized. Our policy is to obtain consent from the parent or guardian to perform this special ordinance outside our general membership. You and your family are welcome to attend our service.

I certify that my child will be able to participate in these activities including but not limited to being baptized by immersion at Church name*. My signature below gives you permission and consent for my child, Minor's First Name* Minor's Last Name*, to participate in Water Baptism at your church on the date listed above.
Print name of Parent or Guardian*

First NameLast Name
Signature of Parent or Guardian*

Clear
Date form was submitted*

MonthDayYear
Date
Could you also provide us with the information below? Thank you so much!
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Apt/Unit #

CityState / Province

Postal / Zip Code
Should be Empty: