Infant Baptism Request
GRACE Church Bethlehem
Child's Name:
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Select daughter or son
*
daughter
son
Mother's Full Name:
*
First Name
Middle Name
Last Name
Phone Number
*
Email
*
example@example.com
Member
*
Yes
No
Father's Full Name:
*
First Name
Middle Name
Last Name
Phone Number
*
Email
*
example@example.com
Member
*
Yes
No
Baptism Seminar attending (must attend before child's baptism)
*
September 21, 2025
November 9, 2025
Who will be attending the Baptism Seminar?
Mother and Father
Mother
Father
Do you need childcare while attending the seminar?
Yes
No
Please list the names and ages of children needing care
I would like to have my child baptized on:
*
September 28, 2025
November 16, 2025
I would like to have my child baptized at this service:
*
8:30 AM Modern Service
9:45 AM Classic Service
11:15 AM Modern Service
Does your child have any siblings?
*
Yes
No
Please list names and ages of siblings
How many family and friends do you anticipate coming to the church service when your child is baptized? (An estimate is fine.)
Submit
Should be Empty: