CCA Baptism Interest Form

Baptism Interest Form

Please complete this form if you are interested in baptism for yourself and/or your child(ren). Baptism dates for 2026: January 11, February 1, April 26, May 31, June 28, August 30 and October 25.
Are you interested in baptism for an infant/child, adult, or both?*

Infant/ChildAdult (18+)Both
Have any of the candidates ever been baptized in another Christian church, including as an infant?*

YesNo
Is at least one parent an active member of Christ Church? (Attended a membership event and signed a membership covenant) OR do you have a student in the Confirmation process?*

Yes - At least one parent is a member of CCANo - Not yet a memberI/We have a student in Confirmation

Which congregation do you attend?*

Christ Church Overland ParkChrist Church Mission
How many children (under 18) are you interested in having baptized?
How many adults (18+) are interested in being baptized?

Baptism of Children and Membership

Christ Church holds the sacrament of baptism as a public and communal act. Because of our commitment to the spiritual formation of our children in the context of Christian community, we only baptize children of a household in which at least one parent or guardian is an active member of Christ Church. If you are interested in exploring church membership, please complete the rest of this form and we will be in touch!
Have you ever attended an Exploring Membership event?*

YesNo
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

Confirmation/Reception/Reaffirmation

Christ Church affirms baptisms celebrated in another Christian church as valid and therefore does not practice re-baptism. We practice Confirmation, Reception, and/or Reaffirmation or Renewal of Baptismal Vows for those who have already been baptized in another Christian church but desire to publicly affirm their faith. We'd love to explore what God is doing in your life and plan the most appropriate time and place to celebrate this you. Please complete the rest of the form and we will be in touch with more information.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

Adult Candidate(s)

Enter information for each adult desiring to be baptized.
Adult 1 Name*

First NameMiddle NameLast Name
Adult 1 Date of Birth*

MonthDayYear
Date
Adult 1 Place of Birth (City and State)*
Adult 1 Email*
example@example.com
Adult 1 Phone*
Please enter a valid phone number.
Adult 1 Mode of Baptism*

Pouring (over candidate at baptismal font)Immersion (in baptismal tank)
Adult 2 Name*

First NameMiddle NameLast Name
Adult 2 Date of Birth*

MonthDayYear
Date
Adult 2 Place of Birth (City and State)*
Adult 2 Email*
example@example.com
Adult 2 Phone*
Please enter a valid phone number.
Adult 2 Mode of Baptism*

Pouring (over candidate at baptismal font)Immersion (in baptismal tank)

Child Candidate(s)

Enter information for each child (under 18) you desire to be baptized.
Child 1 Name*

First NameMiddle NameLast Name
Child 1 Date of Birth*

MonthDayYear
Date
Child 1 Place of Birth (City and State)*
Child 1 Mode of Baptism*

Pouring (over candidate at baptismal font)Immersion (in baptismal tank)
Godparents

We encourage you to think of the role of a godparent as spiritual. As you select godparents, we encourage you to consider who you might like to have as a committed spiritual friend/guide for the candidate. A godparent should be a baptized Christian individual or couple who commits to pray for and support the child in their life in Christ by modeling Christian discipleship. Godparents make promises in their own names and also take vows on behalf of their candidates as part of the baptism service. You are encouraged to prayerfully select people who might serve as a model of faith for the candidate. Godparents could be church friends, life group members, family members, or older spiritual guides.
Child 1: Full Name of Godparent(s)
Child 2 Name*

First NameMiddle NameLast Name
Child 2 Date of Birth*

MonthDayYear
Date
Child 2 Place of Birth (City and State)*
Child 2 Mode of Baptism*

Pouring (over candidate at baptismal font)Immersion (in baptismal tank)
Godparents

We encourage you to think of the role of a godparent as spiritual. As you select godparents, we encourage you to consider who you might like to have as a committed spiritual friend/guide for the candidate. A godparent should be a baptized Christian individual or couple who commits to pray for and support the child in their life in Christ by modeling Christian discipleship. Godparents make promises in their own names and also take vows on behalf of their candidates as part of the baptism service. You are encouraged to prayerfully select people who might serve as a model of faith for the candidate. Godparents could be church friends, life group members, family members, or older spiritual guides.
Child 2: Full Name of Godparent(s)
Child 3 Name*

First NameMiddle NameLast Name
Child 3 Date of Birth*

MonthDayYear
Date
Child 3 Place of Birth (City and State)*
Child 3 Mode of Baptism*

Pouring (over candidate at baptismal font)Immersion (in baptismal tank)
Godparents

We encourage you to think of the role of a godparent as spiritual. As you select godparents, we encourage you to consider who you might like to have as a committed spiritual friend/guide for the candidate. A godparent should be a baptized Christian individual or couple who commits to pray for and support the child in their life in Christ by modeling Christian discipleship. Godparents make promises in their own names and also take vows on behalf of their candidates as part of the baptism service. You are encouraged to prayerfully select people who might serve as a model of faith for the candidate. Godparents could be church friends, life group members, family members, or older spiritual guides.
Child 3: Full Name of Godparent(s)

Parents/Guardians
Parent 1 Name*

First NameLast Name
Parent 1 Email*
example@example.com
Parent 1 Phone Number*
Please enter a valid phone number.
Are you an active member of Christ Church? (Attended a membership event and signed a membership covenant)*

YesNo
Parent 2 Name

First NameLast Name
Parent 2 Email
example@example.com
Parent 2 Phone Number
Please enter a valid phone number.
Are you an active member of Christ Church? (Attended a membership event and signed a membership covenant)

YesNo

Comments/Questions
Should be Empty:

Baptism Interest Form

Baptism of Children and Membership

Confirmation/Reception/Reaffirmation

Adult Candidate(s)

Child Candidate(s)

Parents/Guardians