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
*
Sunday, February 19 at 9:45AM room 116 BECAHI
Baptism Seminar attending
*
Sunday, May 21 at 12:15PM Hecktown Campus Children's Center
Who will be attending the Baptism Seminar?
Mother and Father
Mother
Father
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
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