Baptism Intake Form

SGAC Baptism Request
Name (Parent if baptism candidate is under 18.)*

First NameLast Name
Name of Baptism Candidate (if different from above)

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Gender
Male/Female
Please indicate the age range of the baptism candidate.*

12 or Under (child)13-19 (teen)20+ (adult)
We will do our best to accomodate your service and pastor preference, but we may need to ask you to shift to an alternate pastor or time depending on availability.
Service Preference*

11:00 am9:00 am - LivestreamedNo Preference
Click the appropriate option below, giving consent for your baptism to be on our website (required for the 9:00 am service, optional for the 11:00 am service).*

Yes, I give consent for my baptism to be on the SGAC website.No, I do not give consent for my baptism to be on the SGAC website.
Pastor Preference*

Pastor KeithPastor KarenPastor JoshPastor DebbiePastor ZachNo Preference
Please indicate 2-3 possible dates & times (morning, afternoon, evening) you are available for a baptism interview.
Interviews must be completed a minimum of 5 days prior to Baptism Sunday.
Additional Information - Please Advise if You Have Mobility Issues
Upon submission of this form, you will receieve an email from the office with next steps. For more information and the link to the required extended JotForm visit our website: sgac.net/baptism&dedication.
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SGAC Baptism Request