New Baby Information
Parent Name
*
First Name
Last Name
Parent Name
*
First Name
Last Name
Preferred E-mail
*
example@example.com
Preferred Phone Number
-
Area Code
Phone Number
Child's Name
*
Prefix
First Name
Middle Name
Last Name
Suffix
Goes By Name
*
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child's Name (if multiple)
Prefix
First Name
Middle Name
Last Name
Suffix
Gender
Please Select
Female
Male
Goes By Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
If you need to add more than two children, please contact Ainslie Wall at walla@christchurchcharlotte.org.
Baptism Information
*
I/We would like for this information to be included in the Prayers for the People.
I/We would like to be contacted about scheduling a baptism.
Baptism is already scheduled.
Baptized elsewhere.
I/We are not interested in baptism at this time.
I/We are interested in helping with the Nursery Committee.
Date of baptism
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Where were they baptized? (Church name & city)
Submit
Should be Empty: